MEDICARE: NEVADA CVS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2989741	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1104867076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA CVS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6705 E LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-1101
Country	:	US
Telephone Number	:	702-547-0220
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-765-1500

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	06/03/2019

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1295458776 — BERNADETTE STANTON RPH
Practice Location Address:

6705 E LAKE MEAD BLVD
LAS VEGAS, NV
89156-1101

Practice Phone: 702-547-0220
Practice Fax:

1346255304 — WALGREEN CO
Practice Location Address:

1101 LAS VEGAS BLVD S
LAS VEGAS, NV
89104-1305

Practice Phone: 702-471-6844
Practice Fax:

1285736314 — TRACY COLE RATZLAFF CRNA
Practice Location Address:

1101 DOUGLAS AVENUE
LAS VEGAS, NM
87701-3932

Practice Phone: 505-434-7289
Practice Fax: 505-434-7299

1881776474 — NEW LIFE PERSONAL CARE LLC.,
Practice Location Address:

1101 N DECATUR BLVD
LAS VEGAS, NV
89108-1220

Practice Phone: 702-258-9617
Practice Fax:

1851532923 — DR. KRIS ALAN HANCHETT MD
Practice Location Address:

1101 PUEBLO HILLS AVE
N LAS VEGAS, NV
89032-6151

Practice Phone: 702-210-4205
Practice Fax: 702-633-6484

Directions to “NEVADA CVS PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.