OrganizationActive
Providence Rx Pharmacy LLC
NPI 1255122503 · Community/Retail Pharmacy · Houston, TX
Providence Rx Pharmacy LLC is a Community/Retail Pharmacy organization in Houston, TX (NPI 1255122503).
Provider details
- NPI number
- 1255122503
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Martin Calvillo, Manager(936) 204-7892
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 E Tc Jester Blvd Ste 243
Houston, TX 77008-1454
Phone: (936) 204-7892
Approximate (ZIP-level) locationGet directions
Mailing address
1302 Waugh Dr Unit 379
Houston, TX 77019-3908
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Frequently asked questions
- What is Providence Rx Pharmacy LLC's NPI number?
- Providence Rx Pharmacy LLC's National Provider Identifier (NPI) is 1255122503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Rx Pharmacy LLC?
- Providence Rx Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providence Rx Pharmacy LLC located?
- Providence Rx Pharmacy LLC's practice location on file with NPPES is 2500 E Tc Jester Blvd Ste 243, Houston, TX 77008-1454.
- What is Providence Rx Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Rx Pharmacy LLC is (936) 204-7892.
- Who is the authorized official for Providence Rx Pharmacy LLC?
- The authorized official listed on Providence Rx Pharmacy LLC's NPPES record is Martin Calvillo, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Rx Pharmacy LLC's NPI active?
- Yes — Providence Rx Pharmacy LLC's NPI (1255122503) is active in the NPPES registry as of the last update on 2026-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.