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	2989690	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1174567424
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	:	1408 W CRAIG RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0210
Country	:	US
Telephone Number	:	702-642-2680
Fax Number	:

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	06/04/2019

Similar Medicare Providers

1174127385 — KENNY LI
Practice Location Address:

1408 W CRAIG RD
NORTH LAS VEGAS, NV
89032-0210

Practice Phone: 702-642-2680
Practice Fax:

1568066553 — ZOE JENNIFER YUAN PHARM D.
Practice Location Address:

1408 W CRAIG RD
NORTH LAS VEGAS, NV
89032-0210

Practice Phone: 702-642-2680
Practice Fax:

1336867928 — KAYLIE HIGA PHARMD
Practice Location Address:

1408 W CRAIG RD
NORTH LAS VEGAS, NV
89032-0210

Practice Phone: 702-642-2680
Practice Fax:

1013792068 — WYNEISHA EDWARDS
Practice Location Address:

1408 W CRAIG RD
NORTH LAS VEGAS, NV
89032-0210

Practice Phone: 702-642-2680
Practice Fax:

1720957558 — VALLEY HEALTH SPECIALISTS LLC
Practice Location Address:

6605 GRAND MONTECITO PKWY STE 100
LAS VEGAS, NV
89149-0210

Practice Phone: 702-867-6077
Practice Fax:

1215324884 — WELBROOK CENTENNIAL HILLS LLC
Practice Location Address:

6650 GRAND MONTECITO PKWY
LAS VEGAS, NV
89149-0210

Practice Phone: 801-683-6565
Practice Fax:

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.