OrganizationActive
Providence Family Pharmacy LLC
NPI 1386190247 · Community/Retail Pharmacy · Glendale, WI
Providence Family Pharmacy LLC is a Community/Retail Pharmacy organization in Glendale, WI (NPI 1386190247).
Provider details
- NPI number
- 1386190247
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Abiola Okusanya, Manager(414) 885-0550
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2500 W Silver Spring Dr
Glendale, WI 53209-4218
Phone: (414) 885-0550
Fax: (414) 885-0552
Street-level locationGet directions
Mailing address
2500 W Silver Spring Dr
Glendale, WI 53209-4218
Other names (DBA / former)
- Doing business as
- Providence Family Pharmacy LLC
- Doing business as
- Providence Family Pharmacy LLC
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Frequently asked questions
- What is Providence Family Pharmacy LLC's NPI number?
- Providence Family Pharmacy LLC's National Provider Identifier (NPI) is 1386190247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Family Pharmacy LLC?
- Providence Family Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providence Family Pharmacy LLC located?
- Providence Family Pharmacy LLC's practice location on file with NPPES is 2500 W Silver Spring Dr, Glendale, WI 53209-4218.
- What is Providence Family Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Family Pharmacy LLC is (414) 885-0550.
- Who is the authorized official for Providence Family Pharmacy LLC?
- The authorized official listed on Providence Family Pharmacy LLC's NPPES record is Abiola Okusanya, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Family Pharmacy LLC's NPI active?
- Yes — Providence Family Pharmacy LLC's NPI (1386190247) is active in the NPPES registry as of the last update on 2020-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.