Active NPI
Kevin Wayne McDonald II
- Pharmacist
- La Porte, TX
National Provider Identifier
1134794241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50684
- Practice address
- 112 Highway 146 S. Ste B
Laporte, TX 77571 - Phone
- (281) 842-8500
- Fax
- (281) 842-8505
- NPI assigned
- May 21, 2021
- Last updated
- May 21, 2021
- Sex
- Male
- 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 | 50684 | TX | Primary |
Addresses
Primary practice location
112 Highway 146 S. Ste B
Laporte, TX 77571
Mailing address
300 Enclave Dr Apt 4115
Conroe, TX 77384-5035
Phone (281) 569-9488
Other practice location 1
4040 S Braeswood Blvd
Houston, TX 77025-3304
Phone (713) 666-6353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50684 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Angelo Pharmacy Inc | Past | Accepting new patients | |
| Hancock Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1134794241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ENCLAVE DR APT 4115",
"city": "CONROE",
"state": "TX",
"postal_code": "773845035",
"telephone_number": "281-569-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HIGHWAY 146 S. STE B",
"city": "LAPORTE",
"state": "TX",
"postal_code": "77571",
"telephone_number": "281-842-8500",
"fax_number": "281-842-8505"
}
],
"practiceLocations": [
{
"address_1": "4040 S Braeswood Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770253304",
"country_code": "US",
"telephone_number": "713-666-6353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "KEVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, TX
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- Kapil Mangla
- Tenecia Mason
- McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
- Grace McIntyre, RN
- Patrick McParland, D.D.S.
- McParland, PLLC (Brush Bright Dental)
- Melcare of Angels LLC
- Shieva Shams Molavi, D.D.S., M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.