SOUTHERN NEVADA ADULT MENTAL HEALTH PHARMACY
NPI 1417192980
Pharmacy - Clinic Pharmacy in Henderson, NV

Q: What is State Of Nevada's NPI number?

The NPI number for State Of Nevada is 1417192980. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is doing business as Southern Nevada Adult Mental Health Pharmacy.

Q: What is State Of Nevada's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Q: When was this NPI record last updated?

The NPPES record for State Of Nevada was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2008

1590 W SUNSET RD, HENDERSON, NV 89014(702) 486-6860(702) 486-6862 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Nevada Adult Mental Health Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NEVADA ADULT MENTAL HEALTH PHARMACY (NPI 1417192980) is a healthcare organization registered as a clinic pharmacy in Henderson, Nevada and active in the NPI registry since December 2008. The organization lists Charles Costas, Statewide Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1417192980

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSTATE OF NEVADA

Location Address1590 W SUNSET RDHenderson, NV 89014-6633

Mailing Address1590 W Sunset RdHenderson, NV 89014-6633 · (702) 486-6860 · Fax (702) 486-6862

Phone(702) 486-6860

Fax(702) 486-6862

Organization SubpartNo

Authorized OfficialCharles CostasStatewide Pharmacy Director · (702) 486-6301

Enumeration DateDecember 11, 2008

Last NPPES UpdateJuly 13, 2016

✔ NPI 1417192980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in NV · PH01180

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

1590 W SUNSET RD, Henderson, NV 89014

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Other Names 1

Doing Business AsSouthern Nevada Adult Mental Health Pharmacy

Other Identifiers 1

Other2052188Pk

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LETICIA CARMEN ZUNIGA RN, BSN

Registered Nurse