Kenneth W Abel

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pasadena, TX

NPI 1154954006 · NPPES record last updated Feb 19, 2020

Key facts

NPI
1154954006
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
33596 (TX)
Practice address
2619 Red Bluff Rd
Pasadena, TX 77506-5270
Phone
(713) 475-0939
Fax
(713) 477-8514
NPI assigned
Feb 19, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33596TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas LP Past
since Feb 23, 2020
Accepting new patients
Kroger Texas L P Past
since Feb 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 33596 TX Yes

Addresses

Primary practice location

2619 Red Bluff Rd
Pasadena, TX 77506-5270

Mailing address

7809 Knob Hill Ave
Pasadena, TX 77505-2701
Phone (281) 479-6750

Other providers in Pasadena, TX

All providers in Pasadena, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

Sources for this page

Verify at the official NPI Registry.