Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Rx Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1255122503

Providence Rx Pharmacy LLC is a Community/Retail Pharmacy in Houston, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 E Tc Jester Blvd Ste 243
Houston, TX 77008-1454
Phone: (936) 204-7892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1255122503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Calvillo — Manager · (936) 204-7892
NPI enumeratedMay 15, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address1302 Waugh Dr Unit 379, Houston, TX 77019-3908

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