MRS. SAMANTHA DIANE KIBODEAUX RPH
NPI 1356627210
Pharmacist in Lake Jackson, TX

Active since October 24, 2011
202 HIGHWAY 332 W, LAKE JACKSON, TX 77566(979) 299-2330(979) 299-1159 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Samantha Diane Kibodeaux Rph NPPES

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

MRS. SAMANTHA DIANE KIBODEAUX RPH (NPI 1356627210) is an individual pharmacist in Lake Jackson, Texas, licensed in Texas (29389) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1356627210
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. SAMANTHA DIANE KIBODEAUXCredential: RPH
Location Address202 HIGHWAY 332 WLake Jackson, TX 77566-4013
Mailing Address202 Highway 332 WLake Jackson, TX 77566-4013 · (979) 299-2330 · Fax (979) 299-1159
Fax(979) 299-1159
Sole ProprietorNo
Enumeration DateOctober 24, 2011
NPI 1356627210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 29389
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.
202 HIGHWAY 332 W, Lake Jackson, TX 77566

Other Providers at the Same Location NPPES 3

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

Pharmacy
202 HIGHWAY 332 W
LAKE JACKSON, TX 77566
Pharmacist
202 HIGHWAY 332 W
LAKE JACKSON, TX 77566
Pharmacist
202 HIGHWAY 332 W, T-0882
LAKE JACKSON, TX 77566

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 Samantha Kibodeaux's NPI number?

The NPI number for Samantha Kibodeaux is 1356627210. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Samantha Kibodeaux located?

Samantha Kibodeaux practices at 202 Highway 332 W, Lake Jackson, TX 77566. The listed phone number is (979) 299-2330.

What is Samantha Kibodeaux'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 Samantha Kibodeaux was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.