3 Robert LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

27621 Issued in TX

Legal business name

3 ROBERT LLC

Doing business as

Kingsland Health Mart

Practice address

306 Ranch Road 2900
Kingsland, TX 78639-6063

Phone

(325) 388-4593

Fax

(325) 388-4594

NPI assigned

Jan 26, 2007

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Humphries

Title

Owner

Phone

(325) 388-4593

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kingsland Health Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Robert Todd Humphries, PHARMD

  • Pharmacist
  • Llano, TX
  • NPI 1740962174
  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1649326208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786390004",
            "telephone_number": "325-388-4593",
            "fax_number": "325-388-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 RANCH ROAD 2900",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786396063",
            "telephone_number": "325-388-4593",
            "fax_number": "325-388-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 ROBERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-388-4593"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsland Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Ash Alexander, FNP-C
• Ryan P Allen, DO
• Ascension Seton (Ascension Seton Kingsland Health Center)
• Holly Beats
• Taylor Ann Brooks, FNP

• Pharmacy in Kingsland, TX
• Providers in Kingsland, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.