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MATTHEW WILLIAM BOUCHARD B.S.
NPI 1215276902
Pharmacist in Las Vegas, NV

Active since January 31, 2013
6380 POLARIS AVE UNIT B, LAS VEGAS, NV 89118(702) 269-2005(702) 269-4428 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew William Bouchard B.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW WILLIAM BOUCHARD B.S. (NPI 1215276902) is an individual pharmacist in Las Vegas, Nevada, licensed in Nevada (16706) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1215276902
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATTHEW WILLIAM BOUCHARDCredential: B.S.
Location Address6380 POLARIS AVE UNIT BLas Vegas, NV 89118-3821
Mailing Address6380 Polaris Ave Unit BLas Vegas, NV 89118-3821 · (702) 269-2005 · Fax (702) 269-4428
Phone(702) 269-2005
Fax(702) 269-4428
Sole ProprietorNo
Enumeration DateJanuary 31, 2013
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1215276902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NV · 16706
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
6380 POLARIS AVE UNIT B, Las Vegas, NV 89118
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Other Identifiers 11

OtherPD11738AR · Pharmacist License
Other14059NE · Pharmacist License
Other36982TN · Pharmacist License
OtherRPH-0012926OR · Pharmacist License
Other016497KY · Pharmacist License
OtherP11976MS · Pharmacist License
Other16706NV · Pharmacist License
Other202011979VA · Pharmacist License
Other20910MD · Pharmacist License
OtherPST.019679LA · Pharmacist License
OtherS019524AZ · Pharmacist License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NURO PHARMA INC
Pharmacy
6380 POLARIS AVE UNIT B
LAS VEGAS, NV 89118
Clark County (949) 351-6242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Bouchard's NPI number?

The NPI number for Matthew Bouchard is 1215276902. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Matthew Bouchard located?

Matthew Bouchard practices at 6380 Polaris Ave Unit B, Las Vegas, NV 89118. The listed phone number is (702) 269-2005.

What is Matthew Bouchard's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Matthew Bouchard was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.