PROVIDENCE RX PHARMACY LLC
NPI 1255122503
Pharmacy - Community/Retail Pharmacy in Houston, TX

Q: What is Providence Rx Pharmacy LLC's NPI number?

The NPI number for Providence Rx Pharmacy LLC is 1255122503. It was assigned to this organization in the NPPES registry on May 15, 2025.

Q: What is Providence Rx Pharmacy LLC's specialty?

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

Active since May 15, 2025

2500 E TC JESTER BLVD STE 243, HOUSTON, TX 77008(936) 204-7892 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Mar 26, 2026, Mar 2, 2026 and 1 more (4 updates tracked since 2025).

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About Providence Rx Pharmacy Llc NPPES

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

PROVIDENCE RX PHARMACY LLC (NPI 1255122503) is a healthcare organization registered as a community/retail pharmacy in Houston, Texas and active in the NPI registry since May 2025. The organization lists Martin Calvillo, Manager, as its authorized official.

NPPES Registry Identity

NPI1255122503

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePROVIDENCE RX PHARMACY LLC

Location Address2500 E TC JESTER BLVD STE 243Houston, TX 77008-1454

Mailing Address1302 Waugh Dr Unit 379Houston, TX 77019-3908 · (936) 204-7892

Phone(936) 204-7892

Organization SubpartNo

Authorized OfficialMartin CalvilloManager · (936) 204-7892

Enumeration DateMay 15, 2025

Last NPPES UpdateApril 7, 20264 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1255122503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2500 E TC JESTER BLVD STE 243, Houston, TX 77008

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Other Providers at the Same Location NPPES

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

KENASIA GLOVER LPC

Counselor (Mental Health)

2500 E TC JESTER BLVD STE 243
HOUSTON, TX 77008

Harris County (832) 377-1571

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 Pharmacy LLC's NPI number?

The NPI number for Providence Rx Pharmacy LLC is 1255122503. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Providence Rx Pharmacy LLC located?

Providence Rx Pharmacy LLC is located at 2500 E Tc Jester Blvd Ste 243, Houston, TX 77008. The listed phone number is (936) 204-7892.

What is Providence Rx Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Providence Rx Pharmacy LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.