NEVADA CVS PHARMACY LLC SOS Verified
3550 W SAHARA AVE, LAS VEGAS, NV 89102
NPI Number
1326084476
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: NEVADA CVS PHARMACY, L.L.C.
Entity Number: E0619892005-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2005-09-15
Status Changed: 2011-10-14
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | CVS NV Holding Company L.L.C. | One CVS Drive, Woonsocket, RI | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 | |
| 2019 | $0 | |
| 2020 | $0 | |
| 2021 | $0 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90662 | Vaccine or immunization | 35 | $0 | 0.0% | $0 |
| 90694 | Vaccine or immunization | 16 | $0 | 0.0% | $0 |
| 0002A | Medical service or procedure | 12 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 96 | $0 | 0.0% | $0 |
| 0004A | Medical service or procedure | 44 | $0 | 0.0% | $0 |