Individual provider Active NPI

Kristopher John Carvalho, RPH

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1962090159
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19137 Issued in NV
Practice address
5681 Boulder Hwy
Las Vegas, NV 89122-7201
Phone
(702) 434-4933
Fax
(702) 434-0753
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19137 NV Primary

Addresses

Primary practice location

5681 Boulder Hwy
Las Vegas, NV 89122-7201

Mailing address

5681 Boulder Hwy
Las Vegas, NV 89122-7201
Phone (702) 434-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada CVS Pharmacy LLC PastSince Jan 10, 2021 Accepting new patients
Nevada CVS Pharmacy LLC PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1962090159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227201",
            "telephone_number": "702-434-4933",
            "fax_number": "702-434-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227201",
            "telephone_number": "702-434-4933",
            "fax_number": "702-434-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "KRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.