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Deactivated NPI 1669579215 Deactivated / Inactive NPI Male Practitioner

Ivan Lee Bohrer , RPH

Pharmacist • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ivan Bohrer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 17, 2006
NPI Deactivation Date August 06, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Ivan Bohrer, RPH was a registered Pharmacist practicing in Las Vegas, NV. Throughout an active medical career spanning 20 years, Ivan Bohrer provided care at the practice location at 4700 LAS VEGAS BLVD N until profile deactivation on 2026-08-06.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N
Nellis Airforce Base

Las Vegas, NV 891916600

Telephone 7026533210

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
986 Specialists

Practicing in Las Vegas, NV (2128 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 19440

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1447417183

Registered Pharmacist

NPI 1902908494

Registered Pharmacist

Dr. Tina Frisch , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1922294511

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 06, 2026

Record deactivated on August 06, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4700 LAS VEGAS BLVD N, NELLIS AIRFORCE BASE, LAS VEGAS, NV 891916600 (Tel: 7026533210)

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Updated Business Mailing Address July 08, 2007

Registered at 3428 ROUND VALLEY WAY, LAS VEGAS, NV 891292124 (Tel: 7026566466)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IVAN BOHRER, RPH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #19440 in CA)

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Initial NPI Registration & Enumeration September 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669579215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2006
Last Update: July 08, 2007
Deactivation Date: August 06, 2026

Mailing Address

3428 Round Valley Way

Las Vegas, NV 891292124

Phone: 7026566466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.