Active NPI
Kim Long Pharmacy #2
- Pharmacotherapy Pharmacist
- Houston, TX
National Provider Identifier
1205958469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 22587
- Legal business name
- KIM LONG PHARMACY #2
- Practice address
- 9630 Clarewood Dr Ste A5
Houston, TX 77036-3535 - Phone
- (713) 777-8202
- Fax
- (281) 271-8414
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim D Nguyen
- Title
- Owner
- Phone
- (713) 777-8202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 22587 | TX | Primary |
Addresses
Primary practice location
9630 Clarewood Dr Ste A5
Houston, TX 77036-3535
Mailing address
7601 W Sam Houston Pkwy S # 900
Houston, TX 77072-5218
Phone (713) 777-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22587 | Other | TX | PHARMACY SATE LICENSE # |
| 4528571 | Other | TX | NBP # |
Other names 1
- kim more pharmacy corporation
National Provider Directory
National Provider Directory- Tax ID family
- Kim Long Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1699830026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1205958469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 W SAM HOUSTON PKWY S # 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770725218",
"telephone_number": "713-777-1414",
"fax_number": "281-271-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 CLAREWOOD DR STE A5",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363535",
"telephone_number": "713-777-8202",
"fax_number": "281-271-8414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM LONG PHARMACY #2",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-777-8202",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "22587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY SATE LICENSE #",
"identifier": "22587",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBP #",
"identifier": "4528571",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "kim more pharmacy corporation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.