P Praxis·MD
● Active Type 2 · Organization

Ascension Providence

Pharmacy·Waco, TX· NPI 1386784304 · Enumerated 2007 · 19 years on NPI
Ascension Providence is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2007-02-07
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holly
Reg Dir Net Rev & Reimb
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05

How this organization compares

Across 5625 active pharmacy providers in Texas.

NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
405 Londonderry Dr Ste 104
Waco, TX 767127920
📞 2547514915fax 2547514916
Mailing address
405 Londonderry Dr Ste 104
Waco, TX 767127920
📞 2547514915fax 2547514916

Authorized official

Julie L Holly
Reg Dir Net Rev & Reimb
📞 2104102789

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    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...
    TX license #14491 taxonomy 3336C0003X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    taxonomy 333600000X

Identifiers

TypeValueNotes
05 (TX) 370017
01 2099862 PK

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Ascension Providence Plaza Outpatient Pharmacy
    Type code 3 recorded 2022-06-03

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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