OrganizationActive
Divine Providence Inc
NPI 1154733905 · Community/Retail Pharmacy · Las Vegas, NV
Divine Providence Inc is a Community/Retail Pharmacy organization in Las Vegas, NV (NPI 1154733905).
Provider details
- NPI number
- 1154733905
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Modupe Irorobeje, Chief Pharmacist(702) 778-3072
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1729 E Charleston Blvd Ste F
Las Vegas, NV 89104-1986
Phone: (702) 778-3072
Fax: (702) 778-0512
Street-level locationGet directions
Mailing address
1729 E Charleston Blvd Ste F
Las Vegas, NV 89104-1986
Other names (DBA / former)
- Doing business as
- Providence Pharmacy
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2016-09-21
Frequently asked questions
- What is Divine Providence Inc's NPI number?
- Divine Providence Inc's National Provider Identifier (NPI) is 1154733905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Providence Inc?
- Divine Providence Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Divine Providence Inc located?
- Divine Providence Inc's practice location on file with NPPES is 1729 E Charleston Blvd Ste F, Las Vegas, NV 89104-1986.
- What is Divine Providence Inc's phone number?
- The practice phone number listed in the NPPES registry for Divine Providence Inc is (702) 778-3072.
- Who is the authorized official for Divine Providence Inc?
- The authorized official listed on Divine Providence Inc's NPPES record is Modupe Irorobeje, Chief Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Providence Inc's NPI active?
- Yes — Divine Providence Inc's NPI (1154733905) is active in the NPPES registry as of the last update on 2016-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.