KCC, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

KCC, INC.

Doing business as

Vital Care RX II

Practice address

8625 Line Ave Ste a
Shreveport, LA 71106-6107

Phone

(318) 673-8360

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Brad Gilchrist

Title

Coo

Phone

(601) 482-4003

Specialties & licenses 1

Addresses

Other names 1

• Vital Care RX II Doing business as

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1508456872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 LINE AVE STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066107",
            "telephone_number": "318-673-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 LINE AVE STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066107",
            "telephone_number": "318-673-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-482-4003"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care RX II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care RX II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda J Kay, PHARMD
• Stephen G Kay, PHYSICIAN ASSISTANT
• Rachel Kaye
• KCC Infusion, LLC
• KCC, Inc
• Kde Enterprises, LLC
• Margaret Mary Keane, M.D.
• Emily Keaty
• Matthew Keen
• Arniesha D Keener

• Home Infusion Therapy Pharmacy in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Home Infusion Therapy Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.