Active NPI
Kendra Prevost, PHARM.D.
- Pharmacist
- Garland, TX
National Provider Identifier
1508284647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13750
- Practice address
- 3313 Creek Meadow LN
Garland, TX 75040-2852 - Phone
- (972) 495-9930
- NPI assigned
- Apr 5, 2014
- Last updated
- Apr 5, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13750 | TX | Primary |
Addresses
Primary practice location
3313 Creek Meadow LN
Garland, TX 75040-2852
Mailing address
3313 Creek Meadow LN
Garland, TX 75040-2852
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13750 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396656000000",
"number": "1508284647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3313 CREEK MEADOW LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 CREEK MEADOW LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402852",
"telephone_number": "972-495-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVOST",
"first_name": "KENDRA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-05",
"last_updated": "2014-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "13750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
- Premium Assisted Care
- Premium Healthcare Services LLC
- Premium Psychiatry PLLC
- Prestigious Medical Care PA
- Previcare, PLLC (Schwed Pediatric Dentistry and Orthodontics)
- Lisa Barfield Price, FNP
- Priceless Healthcare Network Inc
- Prima Health Clinic, P.a.
- Primary Visiting Clinicians PLLC (PVC Family Practice)
- Prime Care Pediatric Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.