Serene Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31587 Issued in TX

Legal business name

SERENE PHARMACY LLC

Practice address

2436 S Interstate 35 E
Ste 360
Denton, TX 76205

Phone

(214) 903-4830

Fax

(214) 903-4834

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Kuykendall

Title

Owner

Phone

(214) 903-4830

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Serene Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1114445541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E",
            "address_2": "STE 360",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054992",
            "telephone_number": "214-903-4830",
            "fax_number": "214-903-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E",
            "address_2": "STE 360",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76205",
            "telephone_number": "214-903-4830",
            "fax_number": "214-903-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-903-4830"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serene Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 2, 2018; 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.