Individual provider Active NPI

Christopher Knowles, PHARMD

  • Pharmacist
  • Keller, TX
National Provider Identifier
1134720345
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63092 Issued in TX
Practice address
201 Golden Triangle Blvd
Keller, TX 76248-4484
Phone
(817) 898-6164
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63092 TX Primary

Addresses

Primary practice location

201 Golden Triangle Blvd
Keller, TX 76248-4484

Mailing address

201 Golden Triangle Blvd
Keller, TX 76248-4484
Phone (817) 898-6164

Other identifiers 1

IdentifierTypeStateIssuer
63092OtherTXTEXAS STATE BOARD OF PHARMACY LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.samsclub.com

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
63092TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1134720345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOLDEN TRIANGLE BLVD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484484",
            "telephone_number": "817-898-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOLDEN TRIANGLE BLVD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484484",
            "telephone_number": "817-898-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "CHRISTOPHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "63092",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.samsclub.com",
            "affiliation": "N",
            "endpointDescription": "Sam's Club Pharmacy",
            "address_1": "201 Golden Triangle Blvd",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762484484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

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