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NEVADA CVS PHARMACY LLC SOS Verified

Pharmacy ยท LAS VEGAS, NV

5681 BOULDER HWY, LAS VEGAS, NV 89122

NPI Number
1831130707
Street View of 5681 BOULDER HWY, LAS VEGAS, NV 89122

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
TitleNameAddressStatus
MmemberCVS NV Holding Company L.L.C.One CVS Drive, Woonsocket, RIActive

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
2021$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
G0008Administration of influenza virus vaccine17$0
0.0%
$0