Organization Active NPI

CK Wellness & Pharmacy LLC

  • Community/Retail Pharmacy
  • Kingwood, TX
National Provider Identifier
1194333955
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CK WELLNESS & PHARMACY LLC
Practice address
1110 Kingwood Dr # 108
Kingwood, TX 77339-3001
Phone
(832) 596-7466
Fax
(832) 376-7558
NPI assigned
Jul 17, 2020
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Mohamed Zakaria, RPH
Title
Manager
Phone
(832) 644-9712

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1110 Kingwood Dr # 108
Kingwood, TX 77339-3001

Mailing address

PO Box 730
Braselton, GA 30517-0013
Phone (832) 644-9712

Other identifiers 1

IdentifierTypeStateIssuer
150322MedicaidTX

National Provider Directory

National Provider Directory

Locations

1110 Kingwood Dr
Ste 108
Kingwood, TX 77339
Phone (832) 596-7466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1194333955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305170013",
            "telephone_number": "832-644-9712",
            "fax_number": "832-376-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR # 108",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393001",
            "telephone_number": "832-596-7466",
            "fax_number": "832-376-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK WELLNESS & PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ZAKARIA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-644-9712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150322",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.