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JOSEPHINE PHARMACY, LLC
NPI 1003500158
Pharmacy - Community/Retail Pharmacy in Las Vegas, NV

Active since June 02, 2023
2013 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 403-1118(702) 403-1108 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Josephine Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPHINE PHARMACY, LLC (NPI 1003500158) is a healthcare organization registered as a community/retail pharmacy in Las Vegas, Nevada and active in the NPI registry since June 2023. The organization lists Obiageli Lisa Momodu, Managing Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1003500158
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJOSEPHINE PHARMACY, LLC
Location Address2013 E CHARLESTON BLVDLas Vegas, NV 89104-2056
Mailing Address6013 Cottontail Cove StLas Vegas, NV 89130-1352 · (702) 480-6221
Phone(702) 403-1118
Fax(702) 403-1108
Organization SubpartNo
Authorized OfficialObiageli Lisa MomoduManaging Pharmacist · (702) 480-6221
Enumeration DateJune 2, 2023
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1003500158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
2013 E CHARLESTON BLVD, Las Vegas, NV 89104
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Other Identifiers 1

Medicaid250026014NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIBEL SIMON-CRUZ
Pharmacist
2013 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 403-1118
BRANDY SHA SMITH
Pharmacist
2013 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 403-1118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josephine Pharmacy, LLC's NPI number?

The NPI number for Josephine Pharmacy, LLC is 1003500158. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Josephine Pharmacy, LLC located?

Josephine Pharmacy, LLC is located at 2013 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 403-1118.

What is Josephine Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Josephine Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Josephine Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Josephine Pharmacy, LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.