Individual ProviderSamuel Ng'Ang'A KiratuPharmacistPharmacy Service ProvidersPractice Address4411 Kinsey Dr, Apt#836, Tyler, TX 75703-1015(978) 360-6595PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Ng'Ang'A Kiratu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598199705Provider TypeIndividualFull NameKiratu, Samuel Ng'Ang'ATitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date8/23/2013Last Updated8/23/2013Contact InformationPractice LocationPractice Address4411 Kinsey Dr, Apt#836, Tyler, TX 75703-1015Phone(978) 360-6595FaxUnlisted FaxMailing LocationMailing Address4411 Kinsey Dr, Apt#836, Tyler, TX 75703-1015PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense53863Texas