Kwame Albert, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

109338 Issued in TX

Practice address

11710 Broadway St Ste 120
Pearland, TX 77584-4046

Phone

(832) 617-8080

NPI assigned

Mar 13, 2021

Last updated

Mar 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The KG Group LLC

  dba Shadow Creek Pharmacy

  • Community/Retail Pharmacy
  • Pearland, TX
  • NPI 1104321371
  NPD Authorized official

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1336724103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 BROADWAY ST STE 120",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844046",
            "telephone_number": "832-617-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 BROADWAY ST STE 120",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844046",
            "telephone_number": "832-617-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "KWAME",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "109338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Islam Abdelrahman Al-Howaidi, M.D.
• Alabaster Box Health and Wellness, PLLC
• Christina Marie Alanis
• Rosanna Alba, RN
• Zuhair Ali Abdullahi Albana, MD
• Mohammad Fares Albitar, MD
• Elva Alcocer, RN
• Raeann Elizabeth Alcocer, PT, DPT
• Yvette Aldana, LVN
• Blake Aldridge

• Pharmacy Technician in Pearland, TX
• Providers in Pearland, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.