Pro Pharmacy Health , LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27812 Issued in TX

Legal business name

PRO PHARMACY HEALTH , LLC

Practice address

14021 Southwest Fwy # 409B
Sugar Land, TX 77478

Phone

(281) 491-0767

Fax

(281) 491-0769

NPI assigned

Dec 19, 2011

Last updated

Aug 6, 2018By 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

Kevin Kuykendall

Title

Manager

Phone

(281) 491-0767

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1841569027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 SOUTHWEST FWY # 409B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784575",
            "telephone_number": "281-491-0767",
            "fax_number": "281-491-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 SOUTHWEST FWY # 409B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-491-0767",
            "fax_number": "281-491-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHARMACY HEALTH , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-491-0767"
    },
    "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": "27812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prival Health LLC
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• Pro Max Clinic PLLC
• Pro Med Infusion LLC
• Pro Med RX LLC (Pro Med RX)
• Pro-Intensive Home Health Care
• Proactive Healthcare Services
• Procare Elite Hospital LLC
• Procare Emergency Physicians Elite PLLC
• Procare Wound Solutions,LLC

• Community/Retail Pharmacy in Sugar Land, TX
• Providers in Sugar Land, 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 Aug 6, 2018; 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.