Kongdara Llc
Community/Retail Pharmacy
5901 Bell St Ste C32, Amarillo
Texas, 79109-6231
806-358-2428 806-353-4463
Kongdara Llc is a Community/Retail Pharmacy in Amarillo, Texas. It is located at 5901 Bell St Ste C32, Amarillo and it's customer support contact number is 806-358-2428. The authorized person of Kongdara Llc is Lisa Rogers who is Office Administrator of the pharmacy and his contact number is 806-358-2428. Active license number of Kongdara Llc is 31655 for Community/Retail Pharmacy in Texas. Kongdara Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kongdara Llc is 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.
Pharmacy Details:
Kongdara Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kongdara Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 5901 Bell St Ste C32, Amarillo,
Texas, 79109-6231 |
| Phone: | 806-358-2428 |
| Fax: | 806-353-4463 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Lisa Rogers |
| Position: | Office Administrator |
| Contact Number: | 806-358-2428 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1679581292 |
| NPI Enumeration Date: | 03 Aug, 2006 |
| NPI Last Update On: | 31 Jan, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kongdara Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 31655 | Texas | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1429920-01 | Medicaid | Texas | |
| 4570859 | Other | Texas | Nabp |
| 1429920-02 | Medicaid | Texas | |
| 144312 | Medicaid | Texas | |
Medicare Enrollment:
Kongdara Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9931229119 | O20120420000488 | Southpark Pharmacy Inc | PART B SUPPLIER - OTHER |
| 9830393537 | O20121107000120 | Machias Friendly Pharmacy | PART B SUPPLIER - OTHER |
| 9830393537 | O20121220000100 | Machias Friendly Pharmacy | DME SUPPLIER - PHARMACY |
Products Available:
Kongdara Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Tracheostomy Supplies | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5901 Bell St Ste C32,
Amarillo, Texas |
| Zip: | 79109-6231 |
| Phone Number: | 806-358-2428 |
| Fax Number: | 806-353-4463 |
Patients can reach Kongdara Llc at
5901 Bell St Ste C32, Amarillo, Texas or can
call on customer care at 806-358-2428.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.