Provider Demographics
NPI:1821470741
Name:KNEIP, CHARMAGNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHARMAGNE
Middle Name:
Last Name:KNEIP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5223
Mailing Address - Country:US
Mailing Address - Phone:713-442-2179
Mailing Address - Fax:713-442-2194
Practice Address - Street 1:2755 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5223
Practice Address - Country:US
Practice Address - Phone:713-442-2179
Practice Address - Fax:713-442-2194
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist