Killeen Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KILLEEN PHARMACY

Practice address

218 E Avenue B
Killeen, TX 76541-5223

Phone

(254) 247-3979

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Zizi Nguyen

Title

President

Phone

(267) 257-4622

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1194152041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E AVENUE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415223",
            "telephone_number": "254-247-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E AVENUE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415223",
            "telephone_number": "254-247-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ZIZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-257-4622"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146918",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Killeen Isd
• Killeen Medical Clinic , P.a.
• Killeen Modern Dentistry, PC
• Killeen Neurology, PA
• Killeen Pediatric Care Clinic, P.a.
• Killeen Surgical Operating Company, LLC
• Killeen Vision 153
• Tae Won Kim, O.D.
• Amanda Rose Kimball
• Dominique Kimble, NP

• Community/Retail Pharmacy in Killeen, TX
• Providers in Killeen, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.