Individual provider Active NPI

Melwin Thomas Kondoor

  • Pharmacist
  • Texas City, TX
National Provider Identifier
1730827965
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62298 Issued in TX
Practice address
2902 Palmer Hwy
Texas City, TX 77590-6815
Phone
(409) 945-3426
NPI assigned
May 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62298 TX Primary

Addresses

Primary practice location

2902 Palmer Hwy
Texas City, TX 77590-6815

Mailing address

5706 Buffalo Gap
Missouri City, TX 77459-2583
Phone (713) 367-3014

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

LicenseStateTypeSpecialty
62298TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince May 29, 2022 Accepting new patients
CVS Pharmacy Inc PastSince May 29, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1730827965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 BUFFALO GAP",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592583",
            "telephone_number": "713-367-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906815",
            "telephone_number": "409-945-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDOOR",
        "first_name": "MELWIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.