Providentia LLC
Providentia LLC is a healthcare organization registered as Community/Retail Pharmacy in Tulsa, OK, holding Type 2 (organization) NPI 1700965472 since 2006. The authorized official on file is Michael Dotson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700965472 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Providentia LLC |
| Other name | <Unavail> |
| Practice address | 1507 W 51ST ST, Tulsa, OK, 74107 |
| Phone | 9184461404 |
| Fax | 9187941610 |
| Enumeration date | 2006-11-03 |
| Last updated in NPPES | 2016-11-08 |
Authorized official
| Name | Michael Dotson |
|---|---|
| Title | Owner |
| Phone | 9186889149 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2-6651 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100235670G | Medicaid | OK | — |
| 2144892 | Other | — | PK |
Copy-ready billing details
Provider: Providentia LLC NPI: 1700965472 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1507 W 51ST ST, Tulsa, OK, 74107
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659323517 | Bobby Sturgeon | Individual | Pharmacist | Tulsa, OK |
Verify this record
Cross-check NPI 1700965472 against the authoritative CMS record: view Providentia LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Providentia LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-11-08.