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

Providentia LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1710910237

Providentia LLC is a Durable Medical Equipment & Medical Supplies in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

4112 S Peoria Ave
Tulsa, OK 74105-7613
Phone: (918) 743-4491
Fax: (918) 743-5432
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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 · Licence 2-5706 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1710910237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kohler — Owner/Manager · (918) 743-4491
Other names Freeland Brown Pharmacy; Freeland Brown Pharmacy
NPI enumeratedJuly 8, 2006
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address4112 S Peoria Ave, Tulsa, OK 74105-7613

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