Organization Active NPI

Kegan's Inc

Doing business as Leonard Pharmacy

  • Community/Retail Pharmacy
  • Leonard, TX
National Provider Identifier
1902892763
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04872 Issued in TX
Legal business name
KEGAN'S INC
Doing business as
Leonard Pharmacy
Practice address
122 W Collins St
Leonard, TX 75452-2642
Phone
(903) 587-3363
Fax
(903) 587-2714
NPI assigned
Sep 26, 2005
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Herbert Eugene Kegans, RPHNPI 1801062849
Title
Owner/Pharmacist
Phone
(903) 587-3363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 04872 TX
Community/Retail Pharmacy 3336C0003X 04872 TX Primary

Addresses

Primary practice location

122 W Collins St
Leonard, TX 75452-2642

Mailing address

PO Box 1229
122 W Collins
Leonard, TX 75452-1229
Phone (903) 587-3363

Other identifiers 2

IdentifierTypeStateIssuer
091635501MedicaidTX
013678001MedicaidTX

Other names 1

  • Leonard Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930077829 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 9436278496 Practice locations: Leonard, TX
O20111011000675 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9436278496 Practice locations: Leonard, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kegan's Inc122 W Collins St, Leonard, TX 75452-2642(903) 587-3363 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Ner… Does not accept assignmentParticipating since Jan 1, 2018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1902892763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "address_2": "122 W COLLINS",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754521229",
            "telephone_number": "903-587-3363",
            "fax_number": "903-587-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COLLINS ST",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754522642",
            "telephone_number": "903-587-3363",
            "fax_number": "903-587-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEGAN'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "KEGANS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "903-587-3363",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "04872",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091635501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013678001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.