FREELAND BROWN PHARMACY NO. 3 – NPI #1295101632
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

FREELAND BROWN PHARMACY NO. 3 is a pharmacy located in TULSA, OK. NPPES has assigned the NPI number 1295101632 to FREELAND BROWN PHARMACY NO. 3 on August 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FREELAND BROWN PHARMACY NO. 3” is a dba name, the actual legal business name for this organization is PROVIDENTIA LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Jul 28, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREELAND BROWN PHARMACY NO. 3 below.

NPI Profile for
PROVIDENTIA LLC

NPI Number
1295101632
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENTIA LLC
Doing Business As (dba): FREELAND BROWN PHARMACY NO. 3
Primary location
4227 SOUTHWEST BLVD
CRYSTAL CITY SHOPPING CENTER
TULSA, OK 74107-6522
Phone: (918) 986-8644 Fax: (918) 986-8655
Mailing address
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone: (918) 743-4491 Fax: (918) 743-5432
Organization Subpart
No
Authorized Official
ANDREW KOHLER
PRINCIPAL
Phone: (918) 743-4491
Updated
Certification Date
Jul 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FREELAND BROWN PHARMACY NO. 3

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2153603
MEDICAIDOK100232760 F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.