Kohler Homecare Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19367 Issued in TX

Legal business name

KOHLER HOMECARE PHARMACY, INC.

Doing business as

Webb-Kohler Pharmacy, Home Medical Equipment and Supply

Practice address

2204 Park Springs Blvd
Suite a
Arlington, TX 76013-5642

Phone

(817) 861-4631

Fax

(620) 508-2755

NPI assigned

Aug 10, 2006

Last updated

Aug 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paulette Salvant, RPH

Title

President

Phone

(817) 861-4631

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• WEBB-KOHLER PHARMACY, HOME MEDICAL EQUIPMENT AND SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1053322545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PARK SPRINGS BLVD",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135642",
            "telephone_number": "817-861-4631",
            "fax_number": "620-508-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PARK SPRINGS BLVD",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135642",
            "telephone_number": "817-861-4631",
            "fax_number": "620-508-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLER HOMECARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "SALVANT",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-861-4631",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19367",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149554",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161601301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "815747831",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEBB-KOHLER PHARMACY, HOME MEDICAL EQUIPMENT AND SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEBB-KOHLER PHARMACY, HOME MEDICAL EQUIPMENT AND SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marylyn D Koble, MS, CCC-A
• Barbara Kocurek, RPH, PHARMD
• Daniel Kocurek, MD
• Matthew Arthur Koehler, DDS
• Chee M Koh, ABO
• Micala Kohler, LMFT-A
• Koinonia Baptist Church
• Kol Health PLLC
• Izora Kolic, RBT
• Carter Leigh Kolodny, DDS

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.