Katy Boardwalk Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KATY BOARDWALK PHARMACY INC

Practice address

25230 Kingsland Blvd Ste 100
Katy, TX 77494-2097

Phone

(281) 377-1652

Fax

(281) 377-3981

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Namulundu, PHARM.DNPI 1578215356

Title

Owner/ Authorized Official

Phone

(281) 377-1652

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Namulundu, PHARM.D

  • Pharmacist
  • Katy, TX
  • NPI 1578215356
  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1699511329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SOUTHWEST FWY SUITE 101 PMB 419996",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "281-377-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-377-1652",
            "fax_number": "281-377-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY BOARDWALK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "NAMULUNDU",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-377-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy ABA Center of Texas, L.L.C.
• Katy Acupuncture and Herbal Care PLLC
• Katy Advanced OBGYN, PLLC
• Katy Birth Center
• Katy Birth Center, LLC
• Katy Bone & Joint
• Katy Center for Oral and Facial Surgery
• Katy Child Psychology Associates
• Katy Chiro Care LLC
• Katy Chirocare and Rehab

• Community/Retail Pharmacy in Katy, TX
• Providers in Katy, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.