Individual provider Active NPI

Kendra Jean Colson, PHARMD

  • Pharmacist
  • Corpus Christi, TX
National Provider Identifier
1124616453
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56840 Issued in TX
Practice address
5817 Patton St Ste 100
Corpus Christi, TX 78414-2428
Phone
(361) 806-9100
Fax
(361) 806-9449
NPI assigned
Jan 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56840 TX Primary

Addresses

Primary practice location

5817 Patton St Ste 100
Corpus Christi, TX 78414-2428

Mailing address

5817 Patton St Ste 100
Corpus Christi, TX 78414-2428
Phone (361) 806-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56840TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1124616453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 PATTON ST STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142428",
            "telephone_number": "361-806-9100",
            "fax_number": "361-806-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 PATTON ST STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142428",
            "telephone_number": "361-806-9100",
            "fax_number": "361-806-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "KENDRA",
        "middle_name": "JEAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.