Kimodale, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

24314 Issued in TX

Legal business name

KIMODALE, INC.

Practice address

7932 S. Loop 12
Dallas, TX 75217-6609

Phone

(214) 391-3101

Fax

(214) 398-6408

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Hakim N Alhaddad

Title

President

Phone

(214) 391-3101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hunt Drug & Pharmacy (Hunts Pharmacy) Doing business as

Tax ID family

Hunt Drug Pharmacy Hunts 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.

• Kimodale Inc

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1578578191
  NPD tax ID

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841339736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 S. LOOP 12",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176609",
            "telephone_number": "214-391-3101",
            "fax_number": "214-398-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 S. LOOP 12",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176609",
            "telephone_number": "214-391-3101",
            "fax_number": "214-398-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMODALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALHADDAD",
        "authorized_official_first_name": "HAKIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-391-3101"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145615",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunt Drug & Pharmacy (Hunts Pharmacy)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles William Kimbrough, MD
• Marquisha Kimbrough, B.S.
• Samantha Newton Kimbrough, MSN, APRN, A-GNP-C
• Nyamizi Ruth Kimisha, LVN
• Kimodale Inc
• Jacinta Wangari Kimotho
• Paul Kinberg, D.P.M.
• Tangy Nicole Kincaid Thomas, CRNA
• Annie Mary Kincaid, FAMILY NURSE PRACTIT
• Kenneth Kinchloe

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.