King LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

27291 Issued in TX

Legal business name

KING LTC LLC

Practice address

755 S 11TH Street, Suite 101
Beaumont, TX 77701

Phone

(409) 832-6100

Fax

(409) 832-0159

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Julius Oben, MBA

Title

Owner

Phone

(409) 832-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1093019259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S 11TH STREET, SUITE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-832-6100",
            "fax_number": "409-832-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S 11TH STREET, SUITE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-832-6100",
            "fax_number": "409-832-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "OBEN",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-832-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "27291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "27291T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatum J Kieschnick, DC
• Tinsae T Kifle
• Laura Kimball, LPC
• Leigh B Kimball, O.D.
• Lacey Gail Kinard, OTR
• Ashley Rene King
• Gloria Jean King, DDS
• Heather King, SLPA
• Kimberly Lynn King, FNP
• Steven King, M.D.

• Long Term Care Pharmacy in Beaumont, TX
• Providers in Beaumont, 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 23, 2023; 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.