Provance Wellness USA Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PROVANCE WELLNESS USA INC

Practice address

7600 Wiles Rd
Coral Springs, FL 33067-2037

Phone

(954) 376-9685

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riyaz Khan

Title

Manager

Phone

(954) 376-9685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1477465516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672037",
            "telephone_number": "954-376-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672037",
            "telephone_number": "954-376-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVANCE WELLNESS USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RIYAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-376-9685"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.