KVM Pharmacy Solutions LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13458 Issued in TX

Legal business name

KVM PHARMACY SOLUTIONS LLC

Doing business as

Goliad Pharmacy and Gifts

Practice address

208 S Commercial St
Goliad, TX 77963-4189

Phone

(361) 645-3261

Fax

(361) 645-3281

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2021By 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

Srinivasu VattiNPI 1659502508

Title

Member

Phone

(409) 767-6197

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GOLIAD PHARMACY AND GIFTS Doing business as

Tax ID family

Alamo Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prasanna LLC

  dba Alamo Specialty Pharmacy

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1285259838
  NPD tax ID

Locations

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.

• Srinivasu Vatti

  • Pharmacist
  • Lumberton, NC
  • NPI 1659502508
  NPD Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1770659435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S COMMERCIAL ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779631227",
            "telephone_number": "361-645-3261",
            "fax_number": "361-645-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S COMMERCIAL ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634189",
            "telephone_number": "361-645-3261",
            "fax_number": "361-645-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVM PHARMACY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "VATTI",
        "authorized_official_first_name": "SRINIVASU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "409-767-6197"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "13458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143554",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLIAD PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLIAD PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Henneke, M.A., LPC
• Mary Heryford, LPC
• Kaitlyn Hill, SLP, M.S.CCC
• Loree Jefferson, MS-SLP-CFY
• Joel Kordik, NRP
• La Bahia Adult Day Care
• La Bahia Nursing and Rehabilitation LP
• Jessica Rae Lambeck, SLP
• Lisa Ann Martinez, COTA
• Kongyan Drew Nicely, DDS

• Community/Retail Pharmacy in Goliad, TX
• Providers in Goliad, 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 8, 2021; 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.