Active NPI
Leviant LLC
Doing business as Katy Medical Complex Pharmacy
- Community/Retail Pharmacy
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 24068
- Legal business name
- LEVIANT LLC
- Doing business as
- Katy Medical Complex Pharmacy
- Practice address
- 21700 Kingsland Blvd Ste 105
Katy, TX 77450-2546 - Phone
- (281) 829-6497
- Fax
- (281) 829-3581
- NPI assigned
- Dec 16, 2005
- Last updated
- Jun 29, 2026
- 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
- Diseiye Iyebote, MD
- Title
- Owner
- Phone
- (281) 829-6497
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 24068 | TX | |
| Pharmacy | 333600000X | 24068 | TX | |
| Community/Retail Pharmacy | 3336C0003X | 24068 | TX | Primary |
| Compounding Pharmacy | 3336C0004X | 24068 | TX |
Addresses
Primary practice location
21700 Kingsland Blvd Ste 105
Katy, TX 77450-2546
Mailing address
PO Box 1197
Brenham, TX 77834-1197
Phone (281) 829-6497
Other names 1
- KATY MEDICAL COMPLEX PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250729000339 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385158146 | Practice locations: Katy, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2067950 | Katy Medical Complex Pharmacy | Certificate of waiver | Oct 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
21700 Kingsland Blvd
Ste 1
Katy, TX 77450
Phone (281) 829-6497
21700 Kingsland Blvd
Ste 105
Katy, TX 77450
Phone (281) 829-6497
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
Practitioners 3
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
- Katy, TX
- NPI 1689279549
-
- Pharmacist
- Katy, TX
- NPI 1053942292
-
- Pharmacist
- Katy, TX
- NPI 1720430234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1487630984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1197",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778341197",
"telephone_number": "281-829-6497",
"fax_number": "281-829-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 KINGSLAND BLVD STE 105",
"city": "KATY",
"state": "TX",
"postal_code": "774502546",
"telephone_number": "281-829-6497",
"fax_number": "281-829-3581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVIANT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "IYEBOTE",
"authorized_official_first_name": "DISEIYE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-829-6497",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "24068",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "24068",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "24068",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "TX",
"license": "24068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KATY MEDICAL COMPLEX PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KATY MEDICAL COMPLEX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.