Sarah Elizabeth Provence, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

44240 Issued in TX

Practice address

1838 S Kirkwood Rd
Houston, TX 77077-5024

Phone

(281) 759-9347

NPI assigned

Nov 27, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Houston, TX
  • NPI 1649287525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1063740264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 SILKBAY MEADOW DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940539",
            "telephone_number": "512-350-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 S KIRKWOOD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775024",
            "telephone_number": "281-759-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENCE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-27",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proton Therapy Center-Houston LTD
• Mitchell Juin Prou, MD
• Monica B Proud, MD
• Provectus Medicorum Surgical Assist, LLC
• Proven Care Pharmacy LLC
• Kathleen Provencher, N.P
• Mark Phillip Provenzano, M.D.
• Providence Assisted Living Home, Inc.
• Providence Chiropractic Clinic LLC
• Providence Clearlake Specialty Hospital LLC

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.