OrganizationActive
Providence Pharmacy LLC
NPI 1568891125 · Community/Retail Pharmacy · Lakeland, FL
Providence Pharmacy LLC is a Community/Retail Pharmacy organization in Lakeland, FL (NPI 1568891125).
Provider details
- NPI number
- 1568891125
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Edwin Asante, Pharmacist(863) 937-8092
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5515 US Highway 98 N Ste 1
Lakeland, FL 33809-3133
Phone: (863) 937-8092
Fax: (863) 937-8093
Street-level locationGet directions
Mailing address
7774 Canterbury Cir
Lakeland, FL 33810-3408
Other names (DBA / former)
- Doing business as
- Providence Pharmacy
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2017-01-20
Frequently asked questions
- What is Providence Pharmacy LLC's NPI number?
- Providence Pharmacy LLC's National Provider Identifier (NPI) is 1568891125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pharmacy LLC?
- Providence Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providence Pharmacy LLC located?
- Providence Pharmacy LLC's practice location on file with NPPES is 5515 US Highway 98 N Ste 1, Lakeland, FL 33809-3133.
- What is Providence Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Pharmacy LLC is (863) 937-8092.
- Who is the authorized official for Providence Pharmacy LLC?
- The authorized official listed on Providence Pharmacy LLC's NPPES record is Edwin Asante, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pharmacy LLC's NPI active?
- Yes — Providence Pharmacy LLC's NPI (1568891125) is active in the NPPES registry as of the last update on 2017-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.