My KKT LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27178 Issued in TX

Legal business name

MY KKT LLC

Practice address

2506 25TH Ave N
4
Texas City, TX 77590-4665

Phone

(409) 655-3033

Fax

(409) 655-3031

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Hongyen Dang

Title

Owner

Phone

(409) 655-3033

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Texas City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Thanh Nguyen, M.D.

  • Internal Medicine Physician
  • Galveston, TX
  • NPI 1174547319
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1992956932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 25TH AVE N",
            "address_2": "4",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775904665",
            "telephone_number": "409-655-3033",
            "fax_number": "409-655-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 25TH AVE N",
            "address_2": "4",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775904665",
            "telephone_number": "409-655-3033",
            "fax_number": "409-655-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KKT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "HONGYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-655-3033"
    },
    "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": "27178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Monique Morgan, CRNA
• Sunil Movva, M.D.
• Britni Moya
• Jeffrey Mukherjee
• Diana Marabillas Murrell, LCSW-S
• My Place of Refuge LLC
• Susan Lindsay Naas, MS, LPC, LMFT
• Leonard Edward Nagorski, M.D.
• Nasa Pediatrics Texas City PLLC
• National Vision, Inc.

• Community/Retail Pharmacy in Texas City, TX
• Providers in Texas City, 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 26, 2016; 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.