NPIMap

Organization Active NPI

KVN Pharmacy Incorporated

  • Pharmacy
  • Arlington, TX
National Provider Identifier
1417291469
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28334 Issued in TX
Legal business name
KVN PHARMACY INCORPORATED
Practice address
4860 Matlock Rd Ste 120
Arlington, TX 76018-5657
Phone
(817) 962-0417
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Kevin NguyenNPI 1801125455
Title
Owner
Phone
(214) 226-7623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28334 TX Primary

Addresses

Primary practice location

4860 Matlock Rd Ste 120
Arlington, TX 76018-5657

Mailing address

4860 Matlock Rd Ste 120
Arlington, TX 76018-5657
Phone (817) 962-0417

National Provider Directory

National Provider Directory

Locations

4860 Matlock Rd
Ste 120
Arlington, TX 76018
Phone (817) 962-0417

Practitioners & affiliated clinicians

Practitioners 1

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1417291469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 MATLOCK RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185657",
            "telephone_number": "817-962-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 MATLOCK RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185657",
            "telephone_number": "817-962-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVN PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-226-7623"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.