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Nevada CVS Pharmacy LLC

NPI 1417993569ActiveOrganization· Pharmacy· North Las Vegas, NV

Pharmacy in North Las Vegas, Nevada, registered in NPPES in June 2006. The authorized official on file is Cristiana Mauricio, Manager Pharmacy Enrollments. Medicare paid $19,901 for services to 86 patients in 2024.

Overview

NPI1417993569
StatusActive
Entity typeOrganization
NPI issuedJun 20, 2006
Last updated in NPPESJul 16, 2021
Certified by providerJul 16, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (NV)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients86
Services billed266 across 11 procedure codes
Paid by Medicare$19,901

Medicare sources and data years

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