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PROVIDENCE RX PHARMACY
NPI 1225518079
Pharmacy - Community/Retail Pharmacy in Tulsa, OK

Active since August 20, 2018CLIA 37D2187849 · Waiver
7302 S YALE AVE STE 101, TULSA, OK 74136(918) 392-3366(918) 392-2950 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Oct 22, 2021, Aug 28, 2019 and 2 more (5 updates tracked since 2018).

About Providence Rx Pharmacy NPPES

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

PROVIDENCE RX PHARMACY (NPI 1225518079) is a healthcare organization registered as a community/retail pharmacy in Tulsa, Oklahoma and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Lisa Aileen Owens, President, as its authorized official.

NPPES Registry Identity

NPI1225518079
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENCE RX INC
Location Address7302 S YALE AVE STE 101Tulsa, OK 74136-7032
Mailing Address7302 S Yale Ave Ste 101Tulsa, OK 74136-7032 · (918) 808-6228 · Fax (918) 392-2950
Phone(918) 392-3366
Fax(918) 392-2950
Organization SubpartNo
Authorized OfficialLisa Aileen OwensPresident · (918) 808-6228
Enumeration DateAugust 20, 2018
Last NPPES UpdateMarch 4, 20225 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1225518079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
7302 S YALE AVE STE 101, Tulsa, OK 74136
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Other Names 1

Doing Business AsProvidence Rx Pharmacy

Other Identifiers 1

Medicaid200785950AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2187849

Providence Rx, Inc · Tulsa, OK
Active · expires Jul 8, 2028
CLIA Number37D2187849
Laboratory TypePharmacy
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorLisa A. Owens
Laboratory Phone(918) 392-3366
Laboratory LocationProvidence Rx, Inc7302 S Yale Ave, Ste 101, Tulsa, OK 74136
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

RX CONCEPTS LLC
Pharmacy (Community/Retail Pharmacy)
7302 S YALE AVE STE 101
TULSA, OK 74136
Tulsa County (918) 392-3366
MRS. LISA AILEEN OWENS DPH
Pharmacist
7302 S YALE AVE STE 101
TULSA, OK 74136
Tulsa County (918) 392-3366

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 Providence Rx Inc's NPI number?

The NPI number for Providence Rx Inc is 1225518079. It was assigned to this organization in the NPPES registry on August 20, 2018. The provider is doing business as Providence Rx Pharmacy.

Where is Providence Rx Inc located?

Providence Rx Inc is located at 7302 S Yale Ave Ste 101, Tulsa, OK 74136. The listed phone number is (918) 392-3366.

What is Providence Rx Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Providence Rx Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2187849) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providence Rx Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Providence Rx Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Rx Inc was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.