Organization Active NPI

Naomi Pharma LLC

  • Wound Care Registered Nurse
  • Henderson, NV
National Provider Identifier
1356150551
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
NAOMI PHARMA LLC
Practice address
98 Cabaletta LN
Henderson, NV 89015-5461
Phone
(619) 228-1373
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Donna Fox
Title
Director of Patient Services
Phone
(619) 228-1373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

98 Cabaletta LN
Henderson, NV 89015-5461

Mailing address

98 Cabaletta LN
Henderson, NV 89015-5461
Phone (619) 228-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029002140 CA Part B Supplier - Clinic/Group Practice 4688198237 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1356150551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CABALETTA LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155461",
            "telephone_number": "619-228-1373",
            "fax_number": "702-949-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CABALETTA LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155461",
            "telephone_number": "619-228-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
        "authorized_official_telephone_number": "619-228-1373"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.