Provider Demographics
NPI:1144832080
Name:KUME, ANNUNCIATTA NKANYI
Entity type:Individual
Prefix:DR
First Name:ANNUNCIATTA
Middle Name:NKANYI
Last Name:KUME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 BUDDY OWENS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5464
Mailing Address - Country:US
Mailing Address - Phone:956-627-4358
Mailing Address - Fax:956-627-4346
Practice Address - Street 1:122 N ALAMO RD STE 3
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2215
Practice Address - Country:US
Practice Address - Phone:956-627-4358
Practice Address - Fax:956-627-4346
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist