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PROVIDENCE FAMILY PHARMACY LLC
NPI 1386190247
Pharmacy - Community/Retail Pharmacy in Glendale, WI

Active since August 31, 2016
2500 W SILVER SPRING DR, GLENDALE, WI 53209(414) 885-0550(414) 885-0552 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2020, Oct 7, 2019, Jan 23, 2017 and 1 more (4 updates tracked since 2016).

About Providence Family Pharmacy Llc NPPES

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

PROVIDENCE FAMILY PHARMACY LLC (NPI 1386190247) is a healthcare organization registered as a community/retail pharmacy in Glendale, Wisconsin and active in the NPI registry since August 2016. The organization lists Abiola Okusanya, Manager, as its authorized official.

NPPES Registry Identity

NPI1386190247
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENCE FAMILY PHARMACY LLC
Location Address2500 W SILVER SPRING DRGlendale, WI 53209-4218
Mailing Address2500 W Silver Spring DrGlendale, WI 53209-4218 · (414) 885-0550 · Fax (414) 885-0552
Phone(414) 885-0550
Fax(414) 885-0552
Organization SubpartNo
Authorized OfficialAbiola OkusanyaManager · (414) 885-0550
Enumeration DateAugust 31, 2016
Last NPPES UpdateFebruary 20, 20204 updates tracked since enumeration
✔ NPI 1386190247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 9428-42
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2500 W SILVER SPRING DR, Glendale, WI 53209
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Other Names 1

Doing Business AsProvidence Family Pharmacy Llc

Other Identifiers 1

Other2163951Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 7

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

CHILDREN'S MEDICAL GROUP
Pediatrics
2500 W SILVER SPRING DR, SUITE C
GLENDALE, WI 53209
Milwaukee County (414) 393-1925
PROVIDENCE PHARMACY & WELLNESS
Pharmacy
2500 W SILVER SPRING DR
GLENDALE, WI 53209
Milwaukee County (414) 400-0104
OLALEKAN LUKMAN GANIYU PT, MHSC, MTC
Clinic/Center (Physical Therapy)
2500 W SILVER SPRING DR, STE A
GLENDALE, WI 53209
Milwaukee County (608) 368-9783
DR. ANDREW ALAN LIJEWSKI D.C.
Chiropractor
2500 W SILVER SPRING DR
GLENDALE, WI 53209
Milwaukee County (414) 395-1279
MR. ADEDAPO F OKUSANYA MD
Family Medicine
2500 W SILVER SPRING DR
GLENDALE, WI 53209
Milwaukee County (414) 800-7171
PROVIDENCE FAMILY MEDICAL CLINIC S.C
Clinic/Center (Primary Care)
2500 W SILVER SPRING DR
GLENDALE, WI 53209
Milwaukee County (414) 800-7171
CARI BETH CROSBY PT
Physical Therapist
2500 W SILVER SPRING DR
MILWAUKEE, WI 53209
Milwaukee County (414) 007-1718

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 Family Pharmacy LLC's NPI number?

The NPI number for Providence Family Pharmacy LLC is 1386190247. It was assigned to this organization in the NPPES registry on August 31, 2016.

Where is Providence Family Pharmacy LLC located?

Providence Family Pharmacy LLC is located at 2500 W Silver Spring Dr, Glendale, WI 53209. The listed phone number is (414) 885-0550.

What is Providence Family Pharmacy LLC's specialty?

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

What insurance does Providence Family Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Providence Family Pharmacy 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 Providence Family Pharmacy LLC was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.