Organization Active NPI

Kala Pharmacy Corp

  • Community/Retail Pharmacy
  • San Angelo, TX
National Provider Identifier
1790631455
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KALA PHARMACY CORP
Practice address
2910 Sherwood Way Ste 100
San Angelo, TX 76901-3507
Phone
(325) 716-4499
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Chandrakala Jandyam
Title
Owner
Phone
(325) 400-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2910 Sherwood Way Ste 100
San Angelo, TX 76901-3507

Mailing address

2910 Sherwood Way Ste 100
San Angelo, TX 76901-3507
Phone (325) 716-4499

Other names 1

  • Angelo Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526004112 TX Part B Supplier - Pharmacy 0446720981 Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory
Tax ID family
Angelo 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.

Locations

2910 Sherwood Way
Ste 100
San Angelo, TX 76901
Phone (325) 230-7259

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1790631455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SHERWOOD WAY STE 100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013507",
            "telephone_number": "325-716-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SHERWOOD WAY STE 100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013507",
            "telephone_number": "325-716-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "JANDYAM",
        "authorized_official_first_name": "CHANDRAKALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-400-0456"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.