Individual provider Active NPI

Andrew John Komuves Jr., R.PH.

  • Pharmacist
  • Allen, TX
National Provider Identifier
1316129844
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32371 Issued in TX
Practice address
317 Central Expy N
Allen, TX 75013-2631
Phone
(972) 390-9888
Fax
(972) 390-9889
NPI assigned
Nov 27, 2007
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32371 TX Primary

Addresses

Primary practice location

317 Central Expy N
Allen, TX 75013-2631

Mailing address

5959 Royal LN Ste 515
Dallas, TX 75230-3890
Phone (214) 373-5399

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
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmestate LLC CurrentSince Aug 2, 2020 Accepting new patients
Pharmestate LLC PastSince Jul 12, 2020 Accepting new patients

Locations

317 Central Expy N
Allen, TX 75013
Phone (972) 390-9888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1316129844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 ROYAL LN STE 515",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303890",
            "telephone_number": "214-373-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CENTRAL EXPY N",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132631",
            "telephone_number": "972-390-9888",
            "fax_number": "972-390-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMUVES",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.