Provider Demographics
NPI:1265053383
Name:KS PHARM, LLC
Entity type:Organization
Organization Name:KS PHARM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-442-5251
Mailing Address - Street 1:2510 W GRAND PKWY N
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2853
Mailing Address - Country:US
Mailing Address - Phone:713-442-2301
Mailing Address - Fax:
Practice Address - Street 1:2510 WEST GRAND PARKWAY NORTH
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493
Practice Address - Country:US
Practice Address - Phone:713-442-2301
Practice Address - Fax:713-442-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5931195OtherNCPDP