OrganizationActive
State of Nevada
NPI 1417192980 · Clinic Pharmacy · Henderson, NV
State of Nevada is a Clinic Pharmacy organization in Henderson, NV (NPI 1417192980).
Provider details
- NPI number
- 1417192980
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charles Costas, Statewide Pharmacy Director(702) 486-6301
- License
- PH01180 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1590 W Sunset Rd
Henderson, NV 89014-6633
Phone: (702) 486-6860
Fax: (702) 486-6862
Street-level locationGet directions
Mailing address
1590 W Sunset Rd
Henderson, NV 89014-6633
Other names (DBA / former)
- Doing business as
- Southern Nevada Adult Mental Health Pharmacy
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2016-07-13
Frequently asked questions
- What is State of Nevada's NPI number?
- State of Nevada's National Provider Identifier (NPI) is 1417192980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Nevada?
- State of Nevada is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is State of Nevada located?
- State of Nevada's practice location on file with NPPES is 1590 W Sunset Rd, Henderson, NV 89014-6633.
- What is State of Nevada's phone number?
- The practice phone number listed in the NPPES registry for State of Nevada is (702) 486-6860.
- Who is the authorized official for State of Nevada?
- The authorized official listed on State of Nevada's NPPES record is Charles Costas, Statewide Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Nevada's NPI active?
- Yes — State of Nevada's NPI (1417192980) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.