=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205029220
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CNS SCRIPS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2007
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8580 DEAN MARTIN DR STE 212-214
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89139-7886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-731-4800
-----------------------------------------------------
Fax | 702-731-4807
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8580 DEAN MARTIN DR STE 212-214
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89139-7886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-731-4800
-----------------------------------------------------
Fax | 702-731-4807
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | KRISTIAN RENE LAZO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-731-4800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | PH02253
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------