OrganizationActive
Providentia LLC
NPI 1295101632 · Community/Retail Pharmacy · Tulsa, OK
Providentia LLC is a Community/Retail Pharmacy organization in Tulsa, OK (NPI 1295101632).
Provider details
- NPI number
- 1295101632
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrew Kohler, Principal(918) 743-4491
- License
- 2-7324 (OK)
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
4227 Southwest Blvd
Crystal City Shopping Center
Tulsa, OK 74107-6522
Phone: (918) 986-8644
Fax: (918) 986-8655
Street-level locationGet directions
Mailing address
4112 S Peoria Ave
Tulsa, OK 74105-7613
Other names (DBA / former)
- Doing business as
- Freeland Brown Pharmacy No. 3
- Doing business as
- Freeland Brown Pharmacy No. 3
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Frequently asked questions
- What is Providentia LLC's NPI number?
- Providentia LLC's National Provider Identifier (NPI) is 1295101632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providentia LLC?
- Providentia LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providentia LLC located?
- Providentia LLC's practice location on file with NPPES is 4227 Southwest Blvd, Tulsa, OK 74107-6522.
- What is Providentia LLC's phone number?
- The practice phone number listed in the NPPES registry for Providentia LLC is (918) 986-8644.
- Who is the authorized official for Providentia LLC?
- The authorized official listed on Providentia LLC's NPPES record is Andrew Kohler, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providentia LLC's NPI active?
- Yes — Providentia LLC's NPI (1295101632) is active in the NPPES registry as of the last update on 2020-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.