Kenjura Pharmacy , Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

22629 Issued in TX

Legal business name

KENJURA PHARMACY , INC

Practice address

303 N Park St
Brenham, TX 77833-3146

Phone

(979) 836-7922

Fax

(979) 836-1985

NPI assigned

Nov 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Atwood C Kenjura, RPH

Title

Owner

Phone

(979) 836-7922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003897844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333146",
            "telephone_number": "979-836-7922",
            "fax_number": "979-836-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333146",
            "telephone_number": "979-836-7922",
            "fax_number": "979-836-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENJURA PHARMACY , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENJURA",
        "authorized_official_first_name": "ATWOOD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-836-7922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Jones, M.D.
• Diane Juarez
• Alton Gene Kanak, RPH
• Karen D Rasile PHD PLLC
• Andrea Kell, LMT,MMP
• Toni Kimpel, CPM
• Janet Ann Kitowski, RD, L.D.
• William Klingsporn
• Sarah Kmiec, PT
• Pamela Ann Knebel

• Pharmacy in Brenham, TX
• Providers in Brenham, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.