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KAKS HEALTHCARE LLC NPI 1588162960


NPI Information

NPI: 1588162960
Provider Name: KAKS HEALTHCARE, LLC

Other Name: PHARM HOUSE DRUG - LA GRANGE LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2184252

Address:
110 E TRAVIS ST
LA GRANGE, TX
ZIP 78945
Phone: (979) 968-5835
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KAKS HEALTHCARE, LLC is a community/retail pharmacy pharmacy in La Grange, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KAKS HEALTHCARE, LLC NPI is 1588162960. The provider is registered as an organization entity type.
The provider Other Name Is Pharm House Drug - La Grange Llc.

The provider's business location address is:

110 E TRAVIS ST
LA GRANGE, TX
ZIP 78945-615
Phone: (979) 968-5835
Fax: (979) 968-8580

The provider's authorized official is Kristi Ann Kubosh .
The authorized official title is Owner and has the following contact phone number (979) 218-4735.

The CLIA number assigned to this NPI record is 45D2184252 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 9/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy31766TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12175714OTHERPK
2149786MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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