Active NPI
GKH Inc
Doing business as King's Pharmacy Beaumont
- Community/Retail Pharmacy
- Beaumont, TX
National Provider Identifier
1417110354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26137
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116703 | Other | PK | |
| 145945 | Medicaid | TX |
Other names 1
- King's Pharmacy Beaumont
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091116000190 | TX | Part B Supplier - Pharmacy | 0749328581 | Practice locations: Beaumont, TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Beaumont, TX
- NPI 1982259966
-
- Pharmacist
- Beaumont, TX
- NPI 1992350599
-
- Pharmacist
- Beaumont, TX
- NPI 1588219588
-
- Pharmacist
- Beaumont, TX
- NPI 1962321620
-
- Pharmacist
- Lumberton, TX
- NPI 1033764022
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.