Organization Active NPI

GKH Inc

Doing business as King's Pharmacy Beaumont

  • Community/Retail Pharmacy
  • Beaumont, TX
National Provider Identifier
1417110354
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26137 Issued in TX
Legal business name
GKH INC
Doing business as
King's Pharmacy Beaumont
Practice address
3610 N Major Dr
Beaumont, TX 77713-9573
Phone
(409) 860-0040
Fax
(409) 860-0046
NPI assigned
Jul 9, 2008
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Gregory Hamby, RPH
Title
Owner/President
Phone
(409) 860-0040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26137 TX Primary
Home Infusion Therapy Pharmacy 3336H0001X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3610 N Major Dr
Beaumont, TX 77713-9573

Mailing address

3610 N Major Dr
Beaumont, TX 77713-9573
Phone (409) 860-0040

Other identifiers 2

IdentifierTypeStateIssuer
2116703OtherPK
145945MedicaidTX

Other names 1

  • King's Pharmacy Beaumont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000190 TX Part B Supplier - Pharmacy 0749328581 Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1417110354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N MAJOR DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139573",
            "telephone_number": "409-860-0040",
            "fax_number": "409-860-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N MAJOR DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139573",
            "telephone_number": "409-860-0040",
            "fax_number": "409-860-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "409-860-0040",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26137",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Pharmacy Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.