MEDICARE: IVO MIRTCHEV PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18766	NV
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	18766	NV

General Provider Information

NPI Number	:	1093187502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVO MIRTCHEV PHARMD

Provider Business Mailing Address
First Line	:	1906 TANNER VALLEY CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2843
Country	:	US
Telephone Number	:	702-460-4364
Fax Number	:

Provider Business Practice Location Address
First Line	:	4840 W DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-9125
Country	:	US
Telephone Number	:	702-248-1854
Fax Number	:	702-248-7042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	01/24/2020

Similar Medicare Providers

1568487189 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

4840 W DESERT INN RD
LAS VEGAS, NV
89102-9125

Practice Phone: 702-248-1854
Practice Fax: 702-248-7042

1942665401 — JOSEPH KELLOGG RPH
Practice Location Address:

4840 W DESERT INN RD
LAS VEGAS, NV
89102-9125

Practice Phone: 702-248-1854
Practice Fax: 702-248-7042

1114685062 — MIGUEL ANGEL MARTINEZ PHARMACIST
Practice Location Address:

4840 W DESERT INN RD
LAS VEGAS, NV
89102-9125

Practice Phone: 702-248-1854
Practice Fax:

1780523795 — STEFFIANNA VICTORIA SORRENTINO
Practice Location Address:

11018 HORIZON EDGE DR
LAS VEGAS, NV
89135-9125

Practice Phone: 702-300-6752
Practice Fax:

1295317030 — SANDRIA LLC
Practice Location Address:

9125 EMERALD PEARL CT
LAS VEGAS, NV
89149-4656

Practice Phone: 702-806-3837
Practice Fax:

1396481297 — DE VON JOHNSON
Practice Location Address:

9125 FISH TAIL AVE UNIT 103
LAS VEGAS, NV
89149-3168

Practice Phone: 702-955-1774
Practice Fax:

Directions to “ IVO MIRTCHEV PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.