Active NPI
Kim Denise Wells
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1497256242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26774
- Practice address
- 1580 Greensmark Dr Apt 135
Houston, TX 77067-4009 - Phone
- (281) 652-8080
- Fax
- (281) 652-1438
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26774 | TX | Primary |
Addresses
Primary practice location
1580 Greensmark Dr Apt 135
Houston, TX 77067-4009
Mailing address
3003 S Loop W Ste 450
Houston, TX 77054-1315
Phone (281) 652-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26774 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truecare Allied Pharmacy and Medical Supplies Inc | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Houston, TX
- NPI 1760713242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1497256242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 S LOOP W STE 450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541315",
"telephone_number": "281-652-8080",
"fax_number": "281-652-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 GREENSMARK DR APT 135",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770674009",
"telephone_number": "281-652-8080",
"fax_number": "281-652-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KIM",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.