Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1083658330
Nevada Cvs Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1083658330
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1083658330
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-06-16
Last Updated2019-06-04
Authorized OfficialSusan Colbert
DIRECTOR, PAYER RELATIONS
Phone: 4017651500
Mailing Address1 Cvs Dr, Po Box 1075
Woonsocket, RI 02895-6146
United States
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Primary Practice Address2594 Wigwam Pkwy
Henderson, NV 89074-6226
United States
Phone: (702) 260-0291
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2989703Other ID Number-Commercial Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0003X – Pharmacy, Community/Retail Pharmacy
Yes333600000X – Pharmacy
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About NPI 1083658330

Nevada Cvs Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083658330. The primary specialty listed is Pharmacy. The organization is located in Henderson, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083658330?

NPI 1083658330 belongs to Nevada Cvs Pharmacy Llc, a Pharmacy in Henderson, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083658330 active?

The current status of NPI 1083658330 in the NPPES registry is Active. The record was last updated on 2019-06-04.

What specialty is NPI 1083658330?

NPI 1083658330 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083658330?

You can verify NPI 1083658330 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083658330?

The primary practice address on file for NPI 1083658330 is 2594 Wigwam Pkwy, Henderson, NV 89074-6226. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083658330 issued?

NPI 1083658330 was first issued (enumerated) on 2006-06-16. The NPPES record was last updated on 2019-06-04.

Practice Location Map

Nevada Cvs Pharmacy Llc is located at 2594 Wigwam Pkwy, Henderson, NV. Use the map below to find directions or verify the practice location.

📍 2594 Wigwam Pkwy, Henderson, NV 89074-6226  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nevada Cvs Pharmacy Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162