KVG Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14456 Issued in TX

Legal business name

KVG ENTERPRISES INC

Practice address

1014 N Fielder Rd
Arlington, TX 76012-3149

Phone

(817) 274-1883

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Gary Daley, RPH.

Title

Pres./RPH.

Phone

(817) 274-1883

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• RANDOL MILL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1902900970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123149",
            "telephone_number": "817-274-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123149",
            "telephone_number": "817-274-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVG ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES./RPH.",
        "authorized_official_telephone_number": "817-274-1883",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "14456",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013926301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091453301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078896001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDOL MILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RANDOL MILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurt W. Meyer,D.D.S., Inc.
• Kurt W. Voss, D.O., P.a.
• Mohammed Kurtom
• Nichole Elyssa Kury, RN
• KVG Enterprises Inc
• KVN Pharmacy Incorporated
• Regina Narhgeh Kwaku, LVN
• Peter Kwan
• Uma Cyenia Kyle
• L & a Care, LLC

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, 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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.