Modupe Irorobeje, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17933 Issued in NV

Practice address

3399 S Eastern Ave # B
Las Vegas, NV 89169-3312

Phone

(954) 663-1759

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arise Pharmacy LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1972459774
  NPD Authorized official
• Dignity Specialty Pharmacy

  • Specialty Pharmacy
  • Las Vegas, NV
  • NPI 1487434262
  NPD Authorized official
• Divine Providence Inc

  dba Providence Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1154733905
  NPD Authorized official
• Divine Providence Inc

  dba providence medical supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1558824607
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1184405953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 KILKERRAN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414356",
            "telephone_number": "954-663-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 S EASTERN AVE # B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693312",
            "telephone_number": "954-663-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IROROBEJE",
        "first_name": "MODUPE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironfist Holding, LLC (Quality Life Experience)
• Tamara Joy Irons, L.C.S.W.
• Tara Irons
• Thomas Dresser Irons, MD
• Friday Oghenero Irorobeje, NP
• Susan Renee Iroz, FNP
• Osniel Irure
• Natasha Irvey
• Amanda Irvin
• Jasmine Irvin

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.