MEDICARE: CHARISSE MARIE CAJUDOY

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	18293	NV

General Provider Information

NPI Number	:	1881526820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARISSE MARIE CAJUDOY

Provider Business Mailing Address
First Line	:	9710 W SKYE CANYON PARK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6569
Country	:	US
Telephone Number	:	702-410-8346
Fax Number	:	702-410-8358

Provider Business Practice Location Address
First Line	:	9710 W SKYE CANYON PARK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6569
Country	:	US
Telephone Number	:	702-410-8346
Fax Number	:	702-410-8358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ CHARISSE MARIE CAJUDOY ” Practice Location

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