Organization Active NPI

Kimmy Pharmacy, LLC.

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1871003160
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KIMMY PHARMACY, LLC.
Doing business as
Greenland Pharmacy #8
Practice address
8205 Broadway St
Houston, TX 77061-1201
Phone
(832) 850-7373
Fax
(281) 317-1972
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Jenny Nguyen
Title
Owner
Phone
(832) 850-7373

Specialties & licenses 1

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

Addresses

Primary practice location

8205 Broadway St
Houston, TX 77061-1201

Mailing address

8205 Broadway St
Houston, TX 77061-1201
Phone (832) 850-7373

Other identifiers 1

IdentifierTypeStateIssuer
149704MedicaidTX

Other names 1

  • Greenland Pharmacy #8 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenland Pharmacy 82 organizations share this tax ID, including this one

Locations

13158 Veterans Memorial Dr
Houston, TX 77014

8205 Broadway St
Houston, TX 77061
Phone (832) 850-7373

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1871003160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770611201",
            "telephone_number": "832-850-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770611201",
            "telephone_number": "832-850-7373",
            "fax_number": "281-317-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMY PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-850-7373"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenland Pharmacy #8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.