KEARNEY PARK PHARMACY
NPI 1477819266
Pharmacy in Mesquite, TX

Q: What is Prodigious Industries LLC's NPI number?

The NPI number for Prodigious Industries LLC is 1477819266. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Kearney Park Pharmacy.

Q: What is Prodigious Industries LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since April 05, 2012

3224 GUS THOMASSON RD, MESQUITE, TX 75150(972) 329-1168(972) 329-1436 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2022, Aug 17, 2022 (2 updates tracked since 2022).

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About Kearney Park Pharmacy NPPES

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

KEARNEY PARK PHARMACY (NPI 1477819266) is a healthcare organization registered as a pharmacy in Mesquite, Texas and active in the NPI registry since April 2012. The organization lists Fronce Barnes, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1477819266

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePRODIGIOUS INDUSTRIES LLC

Location Address3224 GUS THOMASSON RDMesquite, TX 75150-4004

Mailing Address3224 Gus Thomasson RdMesquite, TX 75150-4004 · (972) 329-1168 · Fax (972) 329-1436

Phone(972) 329-1168

Fax(972) 329-1436

Organization SubpartNo

Authorized OfficialFronce BarnesPharmacist In Charge · (972) 329-1168

Enumeration DateApril 5, 2012

Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1477819266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TX · 27978

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

3224 GUS THOMASSON RD, Mesquite, TX 75150

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Other Names 1

Doing Business AsKearney Park Pharmacy

Other Identifiers 2

Medicaid146566TX

Other5905647Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kearney Park Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20120823000061Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Other Providers at the Same Location NPPES

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

PRODIGIOUS INDUSTRIES LLC

Pharmacy (Long Term Care Pharmacy)

3224 GUS THOMASSON RD
MESQUITE, TX 75150

Dallas County (972) 329-1168

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 Prodigious Industries LLC's NPI number?

The NPI number for Prodigious Industries LLC is 1477819266. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Kearney Park Pharmacy.

Where is Prodigious Industries LLC located?

Prodigious Industries LLC is located at 3224 Gus Thomasson Rd, Mesquite, TX 75150. The listed phone number is (972) 329-1168.

What is Prodigious Industries LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Prodigious Industries LLC enrolled in Medicare?

Yes. Prodigious Industries LLC is registered in the Medicare PECOS enrollment system.

When is Prodigious Industries LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Prodigious Industries LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 53 other insurers list Prodigious Industries 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 Prodigious Industries LLC was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.