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SHADOW CREEK PHARMACY
NPI 1104321371
Pharmacy - Community/Retail Pharmacy in Pearland, TX

Active since March 28, 2018
11710 BROADWAY ST STE 120, PEARLAND, TX 77584(832) 617-8080(832) 717-2391 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2019, May 4, 2018, Mar 28, 2018 (3 updates tracked since 2018).

About Shadow Creek Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOW CREEK PHARMACY (NPI 1104321371) is a healthcare organization registered as a community/retail pharmacy in Pearland, Texas and active in the NPI registry since March 2018. The organization lists Kwame Albert, Owner, as its authorized official.

NPPES Registry Identity

NPI1104321371
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KG GROUP LLC
Location Address11710 BROADWAY ST STE 120Pearland, TX 77584-4046
Mailing Address11408 Easton Springs DrPearland, TX 77584-2518 · (281) 303-7551
Phone(832) 617-8080
Fax(832) 717-2391
Organization SubpartNo
Authorized OfficialKwame AlbertOwner · (832) 617-8080
Enumeration DateMarch 28, 2018
Last NPPES UpdateMay 21, 20193 updates tracked since enumeration
✔ NPI 1104321371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedPharmacyTaxonomy 333600000X
11710 BROADWAY ST STE 120, Pearland, TX 77584
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Other Names 1

Doing Business AsShadow Creek Pharmacy

Other Identifiers 1

Other2176871Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KWAME ALBERT CPHT
Pharmacy Technician
11710 BROADWAY ST STE 120
PEARLAND, TX 77584
Brazoria County (832) 617-8080
GWENDOLYN EVERAGE RPH
Pharmacist
11710 BROADWAY ST STE 120
PEARLAND, TX 77584
Brazoria County (832) 617-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Kg Group LLC's NPI number?

The NPI number for The Kg Group LLC is 1104321371. It was assigned to this organization in the NPPES registry on March 28, 2018. The provider is doing business as Shadow Creek Pharmacy.

Where is The Kg Group LLC located?

The Kg Group LLC is located at 11710 Broadway St Ste 120, Pearland, TX 77584. The listed phone number is (832) 617-8080.

What is The Kg Group LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does The Kg Group LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list The Kg Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Kg Group LLC was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.