NEVADA CVS PHARMACY, L.L.C. (NPI# 1063665271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063665271 |
| Entity Type | Organization |
| Organization Name | NEVADA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #04691 |
| Practice Address |
5151 Sparks Blvd. Sparks NV 89436-8209 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7756267445 |
| Practice Fax Number | 7756268032 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| 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 |
|---|---|---|---|
| NCPDP | 2991342 | 01 | |
| NV | 1063665271 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #04691 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508095118 | Nevada Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1081 Steamboat Pkwy, Reno, NV 89521-6238 | 2009-07-06 |
| 1205076957 | Nevada Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2935 S Hollywood Blvd, Las Vegas, NV 89122-3715 | 2009-02-20 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| Street Address |
5151 SPARKS BLVD. |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| 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 |
|---|---|---|---|---|
| 1356388789 | Albertsons LLC | Pharmacy | 9750 Pyramid Lake Hwy, Sparks, NV 89436-7549 | 2006-06-02 |
| 1851897664 | Community Health Alliance | Pharmacy | 2244 Oddie Blvd, Sparks, NV 89431-7574 | 2018-04-02 |
| 1700245560 | Uhs Retail Pharmacy, LLC | Pharmacy | 2345 E Prater Way Ste 111, Sparks, NV 89434-9664 | 2016-02-22 |
| 1275931404 | Uhs Retail Pharmacy LLC | Pharmacy | 2345 E Prater Way Ste 111, Sparks, NV 89434-9664 | 2014-12-22 |
| 1699714071 | Albertsons LLC | Pharmacy | 565 E Prater Way, Sparks, NV 89431-4685 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085381 | Cmh Pharmacy LLC | Pharmacy | 6445 W Sunset Rd Ste 168, Las Vegas, NV 89118-3321 | 2020-02-19 |
| 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 |
| 1083257729 | Economy Drug, Inc. | Pharmacy | 91 N. Main St, Eureka, NV 89316 | 2019-10-25 |
| 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 |
| 1396309332 | Asp Management, Inc. | Pharmacy | 4040 N Martin L King Blvd, North Las Vegas, NV 89032-3205 | 2019-04-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.