Divine Providence Inc
Community/Retail Pharmacy
1729 E Charleston Blvd Ste F, Las Vegas
Nevada, 89104-1986
702-778-3072 702-778-0512
Divine Providence Inc is a Community/Retail Pharmacy in Las Vegas, Nevada. It is located at 1729 E Charleston Blvd Ste F, Las Vegas and it's customer support contact number is 702-778-3072. The authorized person of Divine Providence Inc is Modupe Irorobeje who is Chief Pharmacist of the pharmacy and his contact number is 702-778-3072. Active license number of Divine Providence Inc is PH03196 for Community/Retail Pharmacy in Nevada. Divine Providence Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Divine Providence Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Divine Providence Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Divine Providence Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1729 E Charleston Blvd Ste F, Las Vegas,
Nevada, 89104-1986 |
| Phone: | 702-778-3072 |
| Fax: | 702-778-0512 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Modupe Irorobeje |
| Position: | Chief Pharmacist |
| Contact Number: | 702-778-3072 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1154733905 |
| NPI Enumeration Date: | 28 May, 2014 |
| NPI Last Update On: | 21 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Providence Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH03196 | Nevada | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1154733905 | Medicaid | Nevada | |
| 2147176 | Other | | Pk |
Medicare Enrollment:
Divine Providence Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1850511890 | O20140925001482 | Divine Providence Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1729 E Charleston Blvd Ste F,
Las Vegas, Nevada |
| Zip: | 89104-1986 |
| Phone Number: | 702-778-3072 |
| Fax Number: | 702-778-0512 |
Patients can reach Divine Providence Inc at
1729 E Charleston Blvd Ste F, Las Vegas, Nevada or can
call on customer care at 702-778-3072.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.