Kevin Peterson

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29908 Issued in TX

Legal business name

KEVIN PETERSON

Doing business as

Korner Pharmacy

Practice address

2503 Cartwright Rd
Missouri City, TX 77459-2606

Phone

(281) 969-7940

Fax

(832) 987-1226

NPI assigned

Apr 6, 2015

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Peterson

Title

Owner

Phone

(281) 914-7154

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Korner Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1427443522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592606",
            "telephone_number": "281-969-7940",
            "fax_number": "832-987-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592606",
            "telephone_number": "281-969-7940",
            "fax_number": "832-987-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN PETERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-914-7154"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest A. Kendrick, M.D.
• Nathan Kerdlappol, D.D.S
• Renee Marie Kerr, LCSW
• Stephen Denton Kerr, D.D.S.,M.S.
• Kevin Lin Gee (Gee Eye Care, PA)
• Key Chiropractic Recovery & Wellness
• Key Primary Care, PLLC
• Aneeka Khan
• Naseer Nawaz Khan, MD
• Rafiah Khan, D.D.S

• Community/Retail Pharmacy in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.