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FREELAND BROWN PHARMACY NO. 3
NPI 1295101632
Pharmacy - Community/Retail Pharmacy in Tulsa, OK

Active since August 20, 2015CLIA 37D2211887 · Waiver
4227 SOUTHWEST BLVD, CRYSTAL CITY SHOPPING CENTER, TULSA, OK 74107(918) 986-8644(918) 986-8655 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2020, Feb 17, 2020, Jul 19, 2018 and 3 more (6 updates tracked since 2016).

About Freeland Brown Pharmacy No. 3 NPPES

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

FREELAND BROWN PHARMACY NO. 3 (NPI 1295101632) is a healthcare organization registered as a community/retail pharmacy in Tulsa, Oklahoma and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Andrew Aaron Kohler, Principal, as its authorized official.

NPPES Registry Identity

NPI1295101632
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENTIA LLC
Location Address4227 SOUTHWEST BLVD, CRYSTAL CITY SHOPPING CENTERTulsa, OK 74107-6522
Mailing Address4112 S Peoria AveTulsa, OK 74105-7613 · (918) 743-4491 · Fax (918) 743-5432
Phone(918) 986-8644
Fax(918) 986-8655
Organization SubpartNo
Authorized OfficialAndrew Aaron KohlerPrincipal · (918) 743-4491
Enumeration DateAugust 20, 2015
Last NPPES UpdateJuly 28, 20206 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1295101632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · PD07681
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 2-7324 (OK)
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
4227 SOUTHWEST BLVD, Tulsa, OK 74107
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Other Names 1

Doing Business AsFreeland Brown Pharmacy No. 3

Other Identifiers 2

Other2153603Pk
Medicaid100232760 FOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield 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 37D2211887

Freeland Brown Pharmacy · Tulsa, OK
Active · expires Jan 31, 2027
CLIA Number37D2211887
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorJuan Olvera
Laboratory Phone(918) 743-4491
Laboratory LocationFreeland Brown Pharmacy4112 S Peoria Ave, Tulsa, OK 74105
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

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

MOBILITY PLUS LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4227 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 280-1870

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 Providentia LLC's NPI number?

The NPI number for Providentia LLC is 1295101632. It was assigned to this organization in the NPPES registry on August 20, 2015. The provider is doing business as Freeland Brown Pharmacy No. 3.

Where is Providentia LLC located?

Providentia LLC is located at 4227 Southwest Blvd Crystal City Shopping Center, Tulsa, OK 74107. The listed phone number is (918) 986-8644.

What is Providentia LLC's specialty?

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

Does Providentia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2211887) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providentia LLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, AvMed and Blue Cross Blue Shield of North Dakota and 23 other insurers list Providentia LLC 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 Providentia LLC was last updated on July 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.