Active NPI
Kevin Charles Henderson, PHARM.D.
- Pharmacist
- Pflugerville, TX
National Provider Identifier
1013252451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51200
- Practice address
- 18700 Limestone Commercial Dr
Pflugerville, TX 78660-6544 - Phone
- (512) 687-2064
- NPI assigned
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51200 | TX | Primary |
Addresses
Primary practice location
18700 Limestone Commercial Dr
Pflugerville, TX 78660-6544
Mailing address
115 Sandra Muraida Way
Apt 802
Austin, TX 78703-4696
Phone (303) 667-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51200 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1013252451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SANDRA MURAIDA WAY",
"address_2": "APT 802",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034696",
"telephone_number": "303-667-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 LIMESTONE COMMERCIAL DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786606544",
"telephone_number": "512-687-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KEVIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.