Nevada Cvs Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. Organization (NPI-2).
NPI number1194766063
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1194766063
- Entity type
- Organization (NPI-2)
- Legal business name
- Nevada Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Cvs Pharmacy (Doing Business As)
Practice location
9350 W Lake Mead BlvdLas Vegas, NV 89134-8310
Phone 702-649-3514
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Cristiana Mauricio
Manager Pharmacy Enrollments
4017702937
Is something wrong?
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