Organization Active NPI

Leviant LLC

Doing business as Katy Medical Complex Pharmacy

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1487630984
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24068 Issued in TX
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729000339 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4385158146 Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2067950Katy Medical Complex Pharmacy21700 Kingsland, Suite 105, Katy, TX 77450Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.