Individual provider Active NPI

Irene Kizito

  • Pharmacist
  • Webster, TX
National Provider Identifier
1750004008
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44526 Issued in TX
Practice address
980 Clear Lake City Blvd
Webster, TX 77598-6604
Phone
(281) 480-4410
Fax
(281) 480-4413
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 44526 TX Primary

Addresses

Primary practice location

980 Clear Lake City Blvd
Webster, TX 77598-6604

Mailing address

210 Walnut Cove LN
Pearland, TX 77584-8162
Phone (281) 841-3937

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cvs Health Information Exchange (HIE)
Other URL cvs Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Sep 25, 2022 Accepting new patients
CVS Pharmacy Inc PastSince Sep 25, 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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1750004008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALNUT COVE LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848162",
            "telephone_number": "281-841-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 CLEAR LAKE CITY BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986604",
            "telephone_number": "281-480-4410",
            "fax_number": "281-480-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZITO",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvs",
            "affiliation": "N",
            "endpointDescription": "cvs",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "980 Clear Lake City Blvd",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775986604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cvs",
            "affiliation": "N",
            "endpointDescription": "cvs",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "980 Clear Lake City Blvd",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775986604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.