Active NPI
Kenzie Janai Frey
- Pharmacist
- Sherman, TX
National Provider Identifier
1225630130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42254
- Practice address
- 401 E US Highway 82
Sherman, TX 75092-2566 - Phone
- (903) 893-9090
- Fax
- (903) 868-9307
- NPI assigned
- Nov 15, 2020
- Last updated
- Nov 15, 2020
- Sex
- Female
- 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 | 42254 | TX | Primary |
Addresses
Primary practice location
401 E US Highway 82
Sherman, TX 75092-2566
Mailing address
401 E US Highway 82
Sherman, TX 75092-2566
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 |
|---|---|---|---|
| 42254 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1225630130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E US HIGHWAY 82",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E US HIGHWAY 82",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922566",
"telephone_number": "903-893-9090",
"fax_number": "903-868-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "KENZIE",
"middle_name": "JANAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-15",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "42254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.