MEDICARE: OPTUMRX PHARMACY OF NEVADA, INC.

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1851480404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUMRX PHARMACY OF NEVADA, INC.

Provider Business Mailing Address
First Line	:	1945 LAS VEGAS BOULEVARD SOUTH
Second Line	:	ATTN: RENA DAWN CARRERA
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-650-4417
Fax Number	:	702-369-5940

Provider Business Practice Location Address
First Line	:	1945 LAS VEGAS BLVD S
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1310
Country	:	US
Telephone Number	:	702-650-4417
Fax Number	:	702-369-5940

Authorized Official
Title or Position	:	SECRETARY
Name	:	KEVIN EUGENE BURR
Credential	:
Telephone Number	:	712-310-4701

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/29/2024

Similar Medicare Providers

1609112531 — DR. LINDA LOUISE MACMILLAN PHARMD
Practice Location Address:

1945 LAS VEGAS BLVD S
LAS VEGAS, NV
89104-1310

Practice Phone: 702-650-4417
Practice Fax: 702-369-5940

1801295712 — CULINARY EXTRA CLINIC
Practice Location Address:

1961 LAS VEGAS BLVD S STE 101
LAS VEGAS, NV
89104-1310

Practice Phone: 702-852-0215
Practice Fax:

1700402781 — DESIREE PARRAS ROTH PHARMD
Practice Location Address:

1945 LAS VEGAS BLVD S
LAS VEGAS, NV
89104-1310

Practice Phone: 702-650-4417
Practice Fax:

1104551480 — NESTOR PAOLO CARINO
Practice Location Address:

1945 LAS VEGAS BLVD S
LAS VEGAS, NV
89104-1310

Practice Phone: 702-650-4417
Practice Fax:

1245450634 — KIMBER WRIGHT LCSW
Practice Location Address:

1310 W OWENS AVE
LAS VEGAS, NV
89106-2470

Practice Phone: 702-324-8141
Practice Fax:

1306282991 — MRS. CAPRICIA ANN STEED
Practice Location Address:

1310 PINE TERRACE CT
NORTH LAS VEGAS, NV
89031-1098

Practice Phone: 702-399-1219
Practice Fax: 702-399-1219

Directions to “OPTUMRX PHARMACY OF NEVADA, INC. ” 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 © 2007-2026 (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.