NPI 1003857970 · live from the CMS NPI Registry
Cvs 2989 Las Vegas LLC
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1003857970, active.
NPI record
| NPI | 1003857970 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4810 W Ann Rd, Las Vegas, NV 89130 |
| Practice phone | 702-396-2783 |
| Mailing address | 1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895 |
| Enumerated | June 9, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | Cristiana Mauricio, Manager Pharmacy Enrollments |
| Other names | Cvs Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.