Providence Pharmacy is an authorized DME supplier for medicare equipments and products.
Providence Pharmacy is a Community/Retail Pharmacy in Las Vegas, Nevada. This pharmacy is owned and operated by Divine Providence Inc. 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 Providence Pharmacy is Modupe Irorobeje who is Chief Pharmacist of the pharmacy and his contact number is 702-778-3072. Active license number of Providence Pharmacy is PH03196 for Community/Retail Pharmacy in Nevada. Providence Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Providence Pharmacy 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:
Providence Pharmacy 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:
Providence Pharmacy
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 Providence Pharmacy 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:
Providence Pharmacy 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 Providence Pharmacy at 1729 E Charleston Blvd Ste F, Las Vegas, Nevada or can call on customer care at 702-778-3072.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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