Nevada CVS Pharmacy LLC
NPI 1104867076ActiveOrganization· Pharmacy· Las Vegas, NV
Pharmacy in Las Vegas, Nevada, registered in NPPES in June 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $28,292 for services to 114 patients in 2024.
Overview
| NPI | 1104867076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Jun 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 366 across 10 procedure codes |
| Paid by Medicare | $28,292 |
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