Active NPI
Ily-Larc LLC
- Community/Retail Pharmacy
- Henderson, NV
National Provider Identifier
1033091152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ILY-LARC LLC
- Practice address
- 129 W Lake Mead Pkwy Ste 20
Henderson, NV 89015-7055 - Phone
- (702) 476-9776
- Fax
- (725) 910-0743
- NPI assigned
- Jul 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yvonne Nkwen-Tamo, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (702) 985-9120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
129 W Lake Mead Pkwy Ste 20
Henderson, NV 89015-7055
Mailing address
129 W Lake Mead Pkwy Ste 20
Henderson, NV 89015-7055
Phone (702) 476-9776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250041409 | Medicaid | NV |
Other names 1
- Renew Care Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Henderson, NV
- NPI 1710318266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1033091152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W LAKE MEAD PKWY STE 20",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157055",
"telephone_number": "702-476-9776",
"fax_number": "725-910-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 W LAKE MEAD PKWY STE 20",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157055",
"telephone_number": "702-476-9776",
"fax_number": "725-910-0743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILY-LARC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "NKWEN-TAMO",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "702-985-9120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250041409",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renew Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.