Active NPI
Kyndal Kay McCown, PHARMD, RPH
- Pharmacist
- Beaumont, TX
National Provider Identifier
1134536022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54938
- Practice address
- 5850 Eastex Fwy
Beaumont, TX 77708-4824 - Phone
- (409) 898-1584
- Fax
- (409) 242-3200
- NPI assigned
- Jul 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54938 | TX | Primary |
Addresses
Primary practice location
5850 Eastex Fwy
Beaumont, TX 77708-4824
Mailing address
9816 FM 421 Rd
Kountze, TX 77625-5996
Phone (318) 458-5569
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54938 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405209600000",
"number": "1134536022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9816 FM 421 RD",
"city": "KOUNTZE",
"state": "TX",
"postal_code": "776255996",
"telephone_number": "318-458-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 EASTEX FWY",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777084824",
"telephone_number": "409-898-1584",
"fax_number": "409-242-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOWN",
"first_name": "KYNDAL",
"middle_name": "KAY",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-13",
"last_updated": "2014-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.