Individual provider Active NPI

Kwame Albert, CPHT

  • Pharmacy Technician
  • Pearland, TX
National Provider Identifier
1336724103
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 109338 TX Primary

Addresses

Primary practice location

11710 Broadway St Ste 120
Pearland, TX 77584-4046

Mailing address

11710 Broadway St Ste 120
Pearland, TX 77584-4046
Phone (832) 617-8080

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

LicenseStateTypeSpecialty
109338TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The KG Group LLC CurrentSince Mar 21, 2021 Accepting new patients

Locations

11710 Broadway St
Ste 120
Pearland, TX 77584
Phone (832) 617-8080

Organizations & group practices 1

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

NPI Registry JSON

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": []
}

Other providers in Pearland, TX

Sources for this page

  • 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.