CVS PHARMACY # 08808
NPI 1417993569
Pharmacy in North Las Vegas, NV

Q: What is Nevada CVS Pharmacy LLC's NPI number?

The NPI number for Nevada CVS Pharmacy LLC is 1417993569. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as CVS Pharmacy # 08808.

Q: What is Nevada CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 20, 2006

2011 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030(702) 649-1991 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2021, Feb 1, 2021, Jun 4, 2019 (3 updates tracked since 2019).

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About Cvs Pharmacy # 08808 NPPES

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

CVS PHARMACY # 08808 (NPI 1417993569) is a healthcare organization registered as a pharmacy in North Las Vegas, Nevada and active in the NPI registry since June 2006. The organization lists Cristiana Mauricio, Manager Pharmacy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1417993569

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameNEVADA CVS PHARMACY LLC

Location Address2011 E LAKE MEAD BLVDNorth Las Vegas, NV 89030-7135

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(702) 649-1991

Organization SubpartNo

Authorized OfficialCristiana MauricioManager Pharmacy Enrollments · (401) 770-2937

Enumeration DateJune 20, 2006

Last NPPES UpdateJuly 16, 20213 updates tracked since enumeration

NPPES CertifiedJuly 16, 2021

✔ NPI 1417993569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

2011 E LAKE MEAD BLVD, North Las Vegas, NV 89030

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Other Names 1

Doing Business AsCvs Pharmacy # 08808

Other Identifiers 1

Other2989501Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

74 services73 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

53 services53 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08808 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08808

DMEPOS supplier · North Las Vegas, NVOperated by Nevada CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #08808 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20323277

Medicare Participant SinceJanuary 1, 2023

Supplier Location2011 E Lake Mead BlvdNorth Las Vegas, NV 89030

Phone(702) 642-9780

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 10

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

DR. DAGMAWE BERHANU PHARMD

Pharmacist