Kent Zheng
Individual provider Active NPI Pharmacist · Cross Roads, TX
NPI 1821850363 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1821850363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 73678 (TX)
- Practice address
- 11700 US Highway 380
Cross Roads, TX 76227-4642 - Phone
- (940) 488-7008
- NPI assigned
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73678 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73678 | TX | Yes |
Addresses
Primary practice location
11700 US Highway 380
Cross Roads, TX 76227-4642
Mailing address
4800 Telluride LN
Carrollton, TX 75010-5017
Other providers in Cross Roads, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.