Kenneth James Beebe Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03078700 Issued in NJ

Practice address

1255 W Landis Ave
Vineland, NJ 08360-3462

Phone

(856) 794-2989

NPI assigned

Dec 21, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1003403361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MANSION AVE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862539",
            "telephone_number": "856-384-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603462",
            "telephone_number": "856-794-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03078700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "221 Mansion Ave",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080862539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Beams, PA-C
• William R Beck, D.M.D.
• Loretta Becker, LCSW
• Amanda L Beckett, LPN
• Abraham Beder, DDS
• Babak Behgam, DO
• Mary Belcher, MSN
• Aghilas Belkadi, DO
• Brittney Bell
• Shane Joseph Bell

• Pharmacist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.