Providence Pharmacy & Medical Supplies, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROVIDENCE PHARMACY & MEDICAL SUPPLIES, INC.

Doing business as

Providence Pharmacy

Practice address

9525 Bissonnet St Ste 250
Houston, TX 77036-8028

Phone

(832) 623-7554

Fax

(832) 832-5693

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Emmanuel OrusakweNPI 1508458548

Title

President

Phone

(832) 623-7554

Specialties & licenses 1

Addresses

Other names 1

• PROVIDENCE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Orusakwe

  • Pharmacist
  • Houston, TX
  • NPI 1508458548
  NPD Authorized official

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1447728423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 BISSONNET ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 BISSONNET ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368028",
            "telephone_number": "832-623-7554",
            "fax_number": "832-832-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PHARMACY & MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "ORUSAKWE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-623-7554"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Family Practice PA
• Providence Healthcare of TX (PHT Heal)
• Providence Home Dialysis LLC
• Providence Hospice Care Inc
• Providence Hospital of North Houston LLC
• Providence Physician Associates (Brazos Urgent Care)
• Providence RX Pharmacy LLC
• Providence Total Care LLC
• Providence Total Care LLC
• Providence Wellness Inc (Providence Medical & Mental Health Clinic)

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.