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

Divine Providence Inc

Organization Pharmacy · NPI 1154733905

Divine Providence Inc is a Pharmacy in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1729 E Charleston Blvd Ste F
Las Vegas, NV 89104-1986
Phone: (702) 778-3072
Fax: (702) 778-0512
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH03196 (NV)
Pharmacy Taxonomy 333600000X

Record details

NPI number1154733905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Modupe Irorobeje — Chief Pharmacist · (702) 778-3072
Other names Providence Pharmacy
NPI enumeratedMay 28, 2014
Last updated in NPPESSeptember 21, 2016
Mailing address1729 E Charleston Blvd Ste F, Las Vegas, NV 89104-1986

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