MR. EUGENE DOUGLAS PROVAN RPH
NPI 1194881458
Pharmacist in Fort Worth, TX

Active since December 29, 2006
300 W ROSEDALE ST, FORT WORTH, TX 76104(800) 849-3597 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eugene Douglas Provan Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EUGENE DOUGLAS PROVAN RPH (NPI 1194881458) is an individual pharmacist in Fort Worth, Texas, licensed in Texas (31493) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1194881458
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. EUGENE DOUGLAS PROVANCredential: RPH
Location Address300 W ROSEDALE STFort Worth, TX 76104-4856
Mailing Address6808 Brazos Bend DriveNorth Richland Hills, TX 76180 · (817) 253-1921
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1194881458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 31493
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
300 W ROSEDALE ST, Fort Worth, TX 76104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Physician Assistant
300 W ROSEDALE ST
FORT WORTH, TX 76104
Surgery
300 W ROSEDALE ST
FT WORTH, TX 76104
Family Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Dentist
300 W ROSEDALE ST, VA/FWOPC
FORT WORTH, TX 76104
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Dentist
300 W ROSEDALE ST
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Provan's NPI number?

The NPI number for Eugene Provan is 1194881458. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Eugene Provan located?

Eugene Provan practices at 300 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (800) 849-3597.

What is Eugene Provan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Eugene Provan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.