Provider Demographics
NPI:1740020890
Name:PIPKINS, KABREA
Entity type:Individual
Prefix:
First Name:KABREA
Middle Name:
Last Name:PIPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MCKINNEY PLACE DR APT 620
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2179
Mailing Address - Country:US
Mailing Address - Phone:903-521-2651
Mailing Address - Fax:
Practice Address - Street 1:226 E FM 544 STE 100
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4097
Practice Address - Country:US
Practice Address - Phone:972-509-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist