Providence Pharmaceuticals Inc
NPI 1639180227 · Community/Retail Pharmacy · Gardena, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Pharmaceuticals Inc is a Community/Retail Pharmacy organization in Gardena, CA (NPI 1639180227).
Provider details
- NPI number
- 1639180227
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diana Choi, President(310) 353-2699
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Econo Pharmacy
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2017-02-21
Frequently asked questions
- What is Providence Pharmaceuticals Inc's NPI number?
- Providence Pharmaceuticals Inc's National Provider Identifier (NPI) is 1639180227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pharmaceuticals Inc?
- Providence Pharmaceuticals Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Providence Pharmaceuticals Inc located?
- Providence Pharmaceuticals Inc's practice location on file with NPPES is 15435 S Western Ave, Gardena, CA 90249-4323.
- What is Providence Pharmaceuticals Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Pharmaceuticals Inc is (310) 353-2695.
- Does Providence Pharmaceuticals Inc accept Medicare?
- Providence Pharmaceuticals Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Pharmaceuticals Inc?
- The authorized official listed on Providence Pharmaceuticals Inc's NPPES record is Diana Choi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pharmaceuticals Inc's NPI active?
- Yes — Providence Pharmaceuticals Inc's NPI (1639180227) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.