Providence Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROVIDENCE DRUGS LLC

Practice address

8877 Harry Hines Blvd
Dallas, TX 75235-1715

Phone

(214) 353-7202

Fax

(214) 353-7203

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By 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

Patrick Kenechukwu Okelu

Title

Pharmacist

Phone

(214) 353-7202

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1932459666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351715",
            "telephone_number": "214-353-7202",
            "fax_number": "214-353-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351715",
            "telephone_number": "214-353-7202",
            "fax_number": "214-353-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "OKELU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KENECHUKWU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "214-353-7202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xaviana Prothro
• Protouch Nurses, Inc (Protouch Staffing)
• Tyra Prout, NP-C
• Claire Provenzano, PA-C
• Providence Anesthesia Services PLLC
• Providence Group Home
• Providence Health Care Agency LLC
• Providence Home Care LLC
• Providence Senior Services, LLC (Always Best Care Senior Services)
• Tiffany Overstreet Providence, DO

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, 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 Sep 10, 2012; 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.