NEVADA CVS PHARMACY LLC (NPI# 1942473509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942473509 |
| Entity Type | Organization |
| Organization Name | NEVADA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 00121 |
| Practice Address |
1402 E. Lake Mead Pkwy. Henderson NV 89015-6413 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7025585101 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NCPDP | 2990984 | 01 |
| NV | 1942473509 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 00121 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1811166283 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6432 Losee Rd, N Las Vegas, NV 89086-0100 | 2008-02-29 |
| 1750465373 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2830 Bicentennial Parkway, Henderson, NV 89052 | 2006-10-24 |
| 1326084476 | Nevada Cvs Pharmacy LLC | Pharmacy | 3550 W Sahara Ave, Las Vegas, NV 89102-5867 | 2006-06-20 |
| 1235175381 | Nevada Cvs Pharmacy LLC | Pharmacy | 9100 W Sahara Ave, Las Vegas, NV 89117-5747 | 2006-06-20 |
| 1962448019 | Nevada Cvs Pharmacy LLC | Pharmacy | 5985 W Tropicana Ave, Las Vegas, NV 89103-4814 | 2006-06-20 |
| 1417993569 | Nevada Cvs Pharmacy LLC | Pharmacy | 2011 E Lake Mead Blvd, North Las Vegas, NV 89030-7135 | 2006-06-20 |
| 1144266297 | Nevada Cvs Pharmacy LLC | Pharmacy | 6100 Spring Mountain Rd, Las Vegas, NV 89146-8805 | 2006-06-20 |
| 1831134832 | Nevada Cvs Pharmacy LLC | Pharmacy | 8580 W Charleston Blvd, Las Vegas, NV 89117-1238 | 2006-06-17 |
| 1093759342 | Nevada Cvs Pharmacy LLC | Pharmacy | 1250 W 7th St, Reno, NV 89503-4127 | 2006-06-16 |
| Street Address |
1402 E. LAKE MEAD PKWY. |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136309 | Mdrx, LLC | Pharmacy | 118 Corporate Park Dr Ste 105, Henderson, NV 89074-8772 | 2016-03-09 |
| 1134541691 | Wellness Pharmacy LLC | Pharmacy | 80 N Pecos Rd Ste I, Henderson, NV 89074-3379 | 2014-01-17 |
| 1912042201 | Fvs Holdings Inc | Pharmacy | 3041 W Horizon Ridge Pkwy, Ste 100, Henderson, NV 89052-3948 | 2007-02-21 |
| 1184713877 | City Drug Store Inc | Pharmacy | 226 North Ave, Henderson, TN 38340-1816 | 2006-10-12 |
| 1235222662 | Southside Drug Company Inc | Pharmacy | 1005 Nicholas St, Henderson, NC 27536-4945 | 2006-09-30 |
| 1568562908 | Brookshire Brothers Ltd | Pharmacy | 508 S Vanburen, Henderson, TX 75652 | 2006-09-25 |
| 1740291251 | Barrys Pharmacy Inc | Pharmacy | 700 N Green St, Henderson, KY 42420-2951 | 2006-08-10 |
| 1982619573 | Cedar Pharmacy | Pharmacy | 8955 S Pecos Rd Ste 1b, Henderson, NV 89074-7157 | 2006-07-30 |
| 1841212545 | Warm Springs Road Cvs LLC | Pharmacy | 605 N Stephanie St, Henderson, NV 89014-2612 | 2006-07-24 |
| 1043237142 | Walmart Inc. | Pharmacy | 300 E Lake Mead Pkwy, Henderson, NV 89015-5576 | 2006-07-16 |
| Find all providers in HENDERSON | ||||
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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.