Kevin James Shimek, PHARM.D.
Individual provider Active NPI Pharmacist · Caldwell, TX
NPI 1063014645 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1063014645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 50535 (TX)
- Practice address
- 475 State Highway 36 N
Caldwell, TX 77836-7552 - Phone
- (979) 567-0234
- NPI assigned
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50535 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas, LLC | Past |
Accepting new patients | |
| Wal-Mart Stores Texas LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50535 | TX | Yes |
Addresses
Primary practice location
475 State Highway 36 N
Caldwell, TX 77836-7552
Mailing address
13795 Alacia CT
College Station, TX 77845-7091
Phone (979) 436-6578
Other providers in Caldwell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.