KSH RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KSH RX LLC

Doing business as

Miller Pharmacy

Practice address

2442 Lillian Miller Pkwy Ste 115
Denton, TX 76205-2902

Phone

(940) 536-0460

Fax

(940) 536-0461

NPI assigned

Sep 1, 2020

Last updated

Sep 5, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BLANK APOTHECARY INC.As reported in NPPES

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

Authorized official

Name

Jean Michel Mudiay

Title

Officer

Phone

(682) 234-7049

Specialties & licenses 1

Addresses

Other names 1

• Miller Pharmacy Doing business as

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1104430750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 LILLIAN MILLER PKWY STE 115",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762052902",
            "telephone_number": "940-536-0460",
            "fax_number": "940-536-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 LILLIAN MILLER PKWY STE 115",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762052902",
            "telephone_number": "940-536-0460",
            "fax_number": "940-536-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSH RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLANK APOTHECARY INC.",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "MUDIAY",
        "authorized_official_first_name": "JEAN MICHEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "682-234-7049"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kroger Texas L P (Kroger Pharmacy)
• Kroger Texas L P (Kroger Pharmacy)
• Kroger Texas L P (Kroger Pharmacy)
• Mitchel Kruger, M.D.
• KSH RX (Miller Pharmacy)
• Stephen F Kubala III, MD
• Karen Elaine Kudlac, PHD
• Faith Marie Kuehl, DC
• Katie Kufeldt, AU.D.
• Nongnuch Kuligowski

• Community/Retail Pharmacy in Denton, TX
• Providers in Denton, 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 Sep 5, 2020; 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.