WARM SPRINGS ROAD CVS LLC (NPI# 1679595375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679595375 |
| Entity Type | Organization |
| Organization Name | WARM SPRINGS ROAD CVS LLC |
| Other Organization Name | CVS PHARMACY #16854 |
| Practice Address |
4155 S Grand Canyon Dr Las Vegas NV 89147-7123 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7022511450 |
| Practice Fax Number | 7029983647 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH01805 | NV | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2051008 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16854 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114159845 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 695 S Green Valley Pkwy, Henderson, NV 89052-0404 | 2009-08-13 |
| 1295960318 | Warm Springs Road Cvs LLC | Pharmacy | 6371 N Decatur Blvd, Las Vegas, NV 89130-8001 | 2009-05-19 |
| 1033356415 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 7090 N 5th St, North Las Vegas, NV 89084-1333 | 2009-01-07 |
| 1447408448 | Warm Springs Road Cvs LLC | Pharmacy | 1550 E Lincoln Way, Sparks, NV 89434-8989 | 2008-09-03 |
| 1346401437 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 350 W Lake Mead Pkwy, Henderson, NV 89015-7379 | 2008-06-20 |
| 1821170069 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 4100 Blue Diamond Rd, Las Vegas, NV 89139-7717 | 2006-10-19 |
| 1750481198 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 5545 Camino Al Norte, North Las Vegas, NV 89031 | 2006-09-25 |
| 1487754826 | Warm Springs Road Cvs LLC | Pharmacy | 7285 Aliante Parkway, North Las Vegas, NV 89084 | 2006-09-25 |
| 1194824409 | Warm Springs Road Cvs LLC | Pharmacy | 1825 E Warm Springs Rd, Las Vegas, NV 89119-4547 | 2006-09-22 |
| 1669494365 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 3210 N Tenaya Way, Las Vegas, NV 89129-6239 | 2006-07-24 |
| Street Address |
4155 S GRAND CANYON DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518235241 | Tamara Bolos Allen | Pharmacist | 4155 S Grand Canyon Dr, T-1524, Las Vegas, NV 89147-7123 | 2011-12-08 |
| 1033496732 | Peter Alessi | Pharmacist | 4155 S Grand Canyon Dr, Las Vegas, NV 89147-7123 | 2011-11-08 |
| 1942594726 | Tri Nhat Hoang | Pharmacist | 4155 S Grand Canyon Dr, Las Vegas, NV 89147-7123 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1033740691 | Evergreen Pharmacy Inc | Pharmacy | 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119-7505 | 2020-01-31 |
| 1134765837 | Scriptdash Inc | Pharmacy | 600 Pilot Rd Ste A, Las Vegas, NV 89119-9011 | 2019-11-18 |
| 1124678453 | Kcklg LLC | Pharmacy | 6496 Medical Center St Ste 101, Las Vegas, NV 89148-2409 | 2019-09-18 |
| 1417504382 | Eglc LLC | Pharmacy | 6725 S Eastern Ave Ste 8, Las Vegas, NV 89119-3949 | 2019-08-24 |
| 1023671518 | Jay Mataji Inc | Pharmacy | 2202 W Charleston Blvd Ste 13, Las Vegas, NV 89102-2229 | 2019-04-19 |
| 1609439280 | Central Rx Services, LLC | Pharmacy | 1451 Center Crossing Rd, Las Vegas, NV 89144-7047 | 2019-04-18 |
| 1093202046 | Benzene Khemikals | Pharmacy | 3050 E Bonanza Rd Ste 160, Las Vegas, NV 89101-3707 | 2018-04-16 |
| 1164924197 | Aeva II LLC | Pharmacy | 4641 Blue Diamond Rd Ste 120b, Las Vegas, NV 89139-7610 | 2018-03-06 |
| 1205347234 | Sunrise Pharmacy LLC | Pharmacy | 2560 E Sunset Rd Ste 102, Las Vegas, NV 89120-3517 | 2017-10-17 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.