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

Providentia LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1295101632

Providentia LLC is a Durable Medical Equipment & Medical Supplies in Tulsa, Oklahoma. Licensed in Arkansas and Oklahoma. Registered with an NPI since 2015.

Licensed in
AR, OK
In the registry since
2015
Specialties on file
4
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

4227 SW Blvd Crystal City Shopping Ctr
Tulsa, OK 74107-6522
Phone: (918) 986-8644
Fax: (918) 986-8655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PD07681 (AR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 2-7324 (OK)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1295101632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kohler — Principal · (918) 743-4491
Other names Freeland Brown Pharmacy No. 3; Freeland Brown Pharmacy No. 3
NPI enumeratedAugust 20, 2015
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address4112 S Peoria Ave, Tulsa, OK 74105-7613

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