Frontier Pharmacy of Kenedy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04189 Issued in TX

Legal business name

FRONTIER PHARMACY OF KENEDY INC

Doing business as

Frontier Pharmacy of Kenedy Inc

Practice address

103 W Main St
Kenedy, TX 78119-2717

Phone

(830) 583-2115

Fax

(830) 583-9464

NPI assigned

Aug 31, 2006

Last updated

Apr 21, 2022By 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

David Franke

Title

Owner

Phone

(830) 583-2115

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FRONTIER PHARMACY OF KENEDY INC Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1811009723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192717",
            "telephone_number": "830-583-2115",
            "fax_number": "830-583-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192717",
            "telephone_number": "830-583-2115",
            "fax_number": "830-583-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER PHARMACY OF KENEDY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "FRANKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-583-2115"
    },
    "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": "04189",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097975",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRONTIER PHARMACY OF KENEDY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRONTIER PHARMACY OF KENEDY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Chapa
• Pamela Dawn Clark, FNP
• Dewitt Medical District
• Dr. Benjamin D. Ernst, D.O. LTD. LLP
• Dr. Wade Phelps
• Patricia Galindo
• Patrick Alvarado Garcez, LCSW
• Rosalinda Glover, LPC
• Gracia Medical, LLP (Kenedy Family Practice and Obstetrics)
• Partapjot Singh Grewal, DDS

• Community/Retail Pharmacy in Kenedy, TX
• Providers in Kenedy, 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 Apr 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.