State of Nevada
NPI 1417192980ActiveOrganization· Pharmacy, Clinic Pharmacy· Henderson, NV
Pharmacy, Clinic Pharmacy in Henderson, Nevada, registered in NPPES in December 2008. The authorized official on file is Charles Costas, Statewide Pharmacy Director.
Overview
| NPI | 1417192980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2008 |
| Last updated in NPPES | Jul 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | PH01180 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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