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KEVIN LEE VILLAMOR MADELOZO PHARMD
NPI 1124809207
Pharmacist in Dallas, TX

Active since October 13, 2023
3417 GASTON AVE STE 195, DALLAS, TX 75246(214) 818-1611 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Lee Villamor Madelozo Pharmd NPPES

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

KEVIN LEE VILLAMOR MADELOZO PHARMD (NPI 1124809207) is an individual pharmacist in Dallas, Texas, licensed in Texas (65987) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1124809207
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEVIN LEE VILLAMOR MADELOZOCredential: PHARMD
Location Address3417 GASTON AVE STE 195Dallas, TX 75246-2024
Mailing Address3417 Gaston Ave Ste 195Dallas, TX 75246-2024 · (214) 818-1611
Phone(214) 818-1611
Sole ProprietorNo
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1124809207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 65987
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3417 GASTON AVE STE 195, Dallas, TX 75246
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Other Providers at the Same Location NPPES

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

BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Pharmacy (Community/Retail Pharmacy)
3417 GASTON AVE STE 195
DALLAS, TX 75246
Dallas County (214) 818-1611

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 Kevin Lee Madelozo's NPI number?

The NPI number for Kevin Lee Madelozo is 1124809207. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Kevin Lee Madelozo located?

Kevin Lee Madelozo practices at 3417 Gaston Ave Ste 195, Dallas, TX 75246. The listed phone number is (214) 818-1611.

What is Kevin Lee Madelozo's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kevin Lee Madelozo was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.