Kenneth J Fitzgerald

Kenneth J Fitzgerald is a healthcare organization registered as Community/Retail Pharmacy in Bangs, TX, holding Type 2 (organization) NPI 1407935380 since 2006. The authorized official on file is Kenneth Fitzgerald, Pharmacist and Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1407935380
Entity type	Organization (Type 2)
Legal business name	Kenneth J Fitzgerald
Other name	<Unavail>
Practice address	104 E KYLE ST, Bangs, TX, 76823
Phone	3257527214
Fax	3257527134
Enumeration date	2006-11-03
Last updated in NPPES	2010-12-22

Authorized official

Name	Kenneth Fitzgerald
Title	Pharmacist and Owner
Phone	3257526241

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
333600000X	Pharmacy	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	01136	TX

Other identifiers

Identifier	Type	State	Issuer
140909	Medicaid	TX	—
4542824	Other	—	NCPDP PROVIDER IDENTIFICATION NUMBER

Copy-ready billing details

Provider: Kenneth J Fitzgerald
NPI: 1407935380
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 104 E KYLE ST, Bangs, TX, 76823

Providers at this address

NPI	Name	Type	Specialty	Location
1962735365	Kenneth Fitzgerald	Individual	Pharmacist	Bangs, TX

Verify this record

Cross-check NPI 1407935380 against the authoritative CMS record: view Kenneth J Fitzgerald on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Kenneth J Fitzgerald located?

The practice location on file with NPPES is in Bangs, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-12-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-12-22.