Individual provider Active NPI

Kyle Webb

  • Community/Retail Pharmacy
  • Frisco, TX
National Provider Identifier
1821670332
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
33735 Issued in TX
Practice address
3880 Parkwood Blvd Ste 602B
Frisco, TX 75034-1931
Phone
(469) 777-4543
Fax
(459) 777-4693
NPI assigned
Apr 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 33735 TX Primary

Addresses

Primary practice location

3880 Parkwood Blvd Ste 602B
Frisco, TX 75034-1931

Mailing address

3880 Parkwood Blvd Ste 602B
Frisco, TX 75034-1931
Phone (469) 777-4543

Other identifiers 1

IdentifierTypeStateIssuer
33735OtherTXTEXAS STATE BOARD OF PHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

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

State licenses

LicenseStateTypeSpecialty
33735TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marquis Health Solutions Inc Current Accepting new patients
Starlux RX LLC Community/Retail Pharmacy CurrentSince Jul 4, 2021 Accepting new patients

Locations

3880 Parkwood Blvd
Ste 602B
Frisco, TX 75034
Phone (469) 777-4543

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1821670332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD STE 602B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341931",
            "telephone_number": "469-777-4543",
            "fax_number": "459-777-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD STE 602B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341931",
            "telephone_number": "469-777-4543",
            "fax_number": "459-777-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "33735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
            "identifier": "33735",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "3880 Parkwood Blvd Ste 602B",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750341931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.