Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Nevada

Organization Clinic Pharmacy · NPI 1417192980

State of Nevada is a Clinic Pharmacy in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2008.

Licensed in
NV
In the registry since
2008

Practice location Address checks out

1590 W Sunset Rd
Henderson, NV 89014-6633
Phone: (702) 486-6860
Fax: (702) 486-6862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence PH01180 (NV)

Record details

NPI number1417192980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Costas — Statewide Pharmacy Director · (702) 486-6301
Other names Southern Nevada Adult Mental Health Pharmacy
NPI enumeratedDecember 11, 2008
Last updated in NPPESJuly 13, 2016
Mailing address1590 W Sunset Rd, Henderson, NV 89014-6633

Other providers in Henderson