KVB LLC


Address: 13027 Hwy 155 S Ste 200, Tyler, TX 75703-6548
Phone: 6037034001

KVB LLC (NPI# 1629601489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629601489
Entity Type Organization
Organization Name KVB LLC
Other Organization Name MINT PHARMACY
Practice Address 13027 Hwy 155 S Ste 200
Tyler
TX 75703-6548
Mailing Address 3808 Ozark Dr
Irving
TX 75063-3549
Practice Telephone 6037034001
Enumeration Date 2020-02-19
Last Update Date 2020-02-19
Authorized Official Name MR. VIROOPAKSHA VELISHALA (OWNER)
Authorized Official Telephone 6037034001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS STATE BOARD OF PHARMACY PHARMACY LICENSE 33130 01

Other Provider/Organization Names

Other Name Type Code
Mint Pharmacy Doing Business As Name - Organization

Office Location

Street Address 13027 HWY 155 S STE 200
City TYLER
State TX
Zip Code 75703-6548

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508485871 Tyler Carerx LLC Pharmacy 1007 E 2nd St, Tyler, TX 75701-3312 2020-04-15
1225498991 Savrx Pharmacy, Inc Pharmacy 6100 S. Broadway Ave, Suite 160, Tyler, TX 75703 2016-02-24
1043684228 Fred's Stores of Tennessee Inc. Pharmacy 1803 E Gentry Pkwy, Tyler, TX 75702-3564 2015-11-25
1962874602 Brookshire Grocery Company Pharmacy 172 Centennial Pkwy, Tyler, TX 75703 2015-10-21
1619143732 Brookshire Grocery Company Pharmacy 1600 Wsw Loop 323, Tyler, TX 75701-8532 2008-05-08
1750485587 Cvs Pharmacy Inc Pharmacy 4922 S Broadway Ave, Tyler, TX 75703-1324 2006-09-12
1235243221 Majors Pharmacy Inc Pharmacy 108 Shelley Dr, Tyler, TX 75701-8723 2006-08-18
1700808458 Cvs Pharmacy Inc Pharmacy 7003 S Broadway Ave, Tyler, TX 75703-4737 2006-07-24
1356955587 American Specialty Pharmacy Inc Pharmacy 1109 E 5th St, Tyler, TX 75701-3318 2020-09-04
1336751270 Stephenson Pharmacy, LLC Pharmacy 1000 S Fleishel Ave, Tyler, TX 75701-2037 2020-08-21
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Competitor

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City TYLER
Zip Code 75703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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