OrganizationActive
Josephine Pharmacy, LLC
NPI 1003500158 · Community/Retail Pharmacy · Las Vegas, NV
Provider details
- NPI number
- 1003500158
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Obiageli Momodu, Managing Pharmacist(702) 480-6221
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2013 E Charleston Blvd
Las Vegas, NV 89104-2056
Phone: (702) 403-1118
Fax: (702) 403-1108
Street-level locationGet directions
Mailing address
6013 Cottontail Cove St
Las Vegas, NV 89130-1352
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.