KVG Enterprises Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

19543 Issued in TX

Legal business name

KVG ENTERPRISES INC

Practice address

1014 A North Fielder Road
Arlington, TX 76015

Phone

(817) 274-1883

Fax

(817) 274-9621

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Gary Daley

Title

Owner

Phone

(817) 274-1883

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Randol Mill LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1043461353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 A NORTH FIELDER ROAD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 A NORTH FIELDER ROAD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-274-1883",
            "fax_number": "817-274-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVG ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-274-1883"
    },
    "taxonomies": [
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "19543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4549854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randol Mill LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reji Kurian
• Kurt W. Meyer,D.D.S., Inc.
• Kurt W. Voss, D.O., P.a.
• Mohammed Kurtom
• Nichole Elyssa Kury, RN
• KVG Enterprises Inc
• KVN Pharmacy Incorporated
• Regina Narhgeh Kwaku, LVN
• Peter Kwan
• Uma Cyenia Kyle

• Long Term Care Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.