Kenneth Roberto Henderson

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

179826 Issued in TX

Practice address

10375 Richmond Ave
#1575
Houston, TX 77042-4143

Phone

(866) 312-1177

Fax

(713) 953-1925

NPI assigned

Aug 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1740596592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 RICHMOND AVE",
            "address_2": "#1575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424143",
            "telephone_number": "866-312-1177",
            "fax_number": "713-953-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 RICHMOND AVE",
            "address_2": "#1575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424143",
            "telephone_number": "866-312-1177",
            "fax_number": "713-953-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KENNETH",
        "middle_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "179826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin D Henderson, PH.D., LPC-S
• Kameron Henderson
• Karen Marie Henderson, PA-C
• Kelly Jean Henderson
• Kenneth Ray Henderson
• Kimberly L Henderson, M.D.
• Kimberly M Henderson, OT
• Krista Price Henderson, APRN
• Lakeshia Henderson
• Lashonda Henderson

• Pharmacy Technician in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.