Pro Kima, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29737 Issued in TX

Legal business name

PRO KIMA, LLC

Practice address

1891 N Lee Trevino Dr Ste 200
El Paso, TX 79936-4132

Phone

(915) 629-2020

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Peyman Kimasi

Title

Officer

Phone

(503) 975-0925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VIP Pharmacy Doing business as

Locations

Practitioners 1

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

• Karla Castro

  • Pharmacist
  • El Paso, TX
  • NPI 1194301556
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1770973406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR",
            "address_2": "# 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364127",
            "telephone_number": "915-629-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364132",
            "telephone_number": "915-629-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO KIMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "KIMASI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "503-975-0925"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Sterling Priver, MD
• PRN Nursing Agency of El Paso
• PRN Nursing Agency of El Paso LLC
• PRN Primary Home Care LLC
• Pro K, Inc
• Pro-Action, Inc.
• Pro-Balance Technologies LLC
• Pro-Vision Home Health, LLC
• Proactive Motion Therapy LLC
• Tiera Proctor, PHARMD

• Community/Retail Pharmacy in El Paso, TX
• Providers in El Paso, 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 Feb 3, 2015; 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.