KVG ENTERPRISES INC NPI 1043461353

NPI Information

NPI: 1043461353
Provider Name: KVG ENTERPRISES INC

Doing Business As: RANDOL MILL LTC PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1014 A NORTH FIELDER ROAD
ARLINGTON, TX
ZIP 76015
Phone: (817) 274-1883
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KVG ENTERPRISES INC is a long term care pharmacy pharmacy in Arlington, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KVG ENTERPRISES INC NPI is 1043461353. The provider is registered as an organization entity type.
The provider Is Doing Business As Randol Mill Ltc Pharmacy.

The provider's business location address is:

1014 A NORTH FIELDER ROAD
ARLINGTON, TX
ZIP 76015
Phone: (817) 274-1883
Fax: (817) 274-9621

The provider's authorized official is Gary Daley .
The authorized official title is Owner and has the following contact phone number (817) 274-1883.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/16/2008.

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
1	332100000X	Department of Veterans Affairs (VA) Pharmacy				No
2	3336I0012X	Pharmacy	Institutional Pharmacy			No
3	3336L0003X	Pharmacy	Long Term Care Pharmacy	19543	TEXAS	Yes

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
1	4549854	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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