NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Providentia LLC

Community/Retail Pharmacy in Tulsa, OK · enumerated 2006 · authorized official Andrew Kohler, Owner/Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710910237

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Providentia LLC
Other name <Unavail>
Practice address 4112 S Peoria Ave, Tulsa, OK, 74105
Phone (918) 743-4491
Fax (918) 743-5432
Enumeration date Jul 8, 2006
Last updated in NPPES Jul 28, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 2-5706 (OK) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Andrew Kohler
Title Owner/Manager
Phone (918) 743-4491

Other identifiers

Identifier Type State Issuer
100232760 B Medicaid OK -
100232760 A Medicaid OK -
2130880 Other - PK

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for Providentia LLC?
NPPES lists Andrew Kohler (Owner/Manager) as the authorized official for this organization.
What is the NPI number for Providentia LLC?
The NPI for Providentia LLC is 1710910237, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-28.