Paige Kennedy

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP454810 Issued in PA

Practice address

702 Chestnut St
Emmaus, PA 18049-2018

Phone

(610) 965-5980

NPI assigned

May 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Emmaus, PA
  • NPI 1336243187
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1013583152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492018",
            "telephone_number": "610-965-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RP454810",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Emmaus",
            "affiliation": "N",
            "address_1": "702 Chestnut St",
            "city": "Emmaus",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180492018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Lee Jones, D.O.
• Joseph Kavchok Jr. M.D. P.C.
• Kathy M Kaufman, CRNP,PHD,LPC,NCC,BSN
• Joseph Kavchok Jr., M.D.
• Casandra Kemmler
• Amy Lynn Keyser, LAPC
• Keystone Rehabilitation Systems Inc
• Jessamy Ann Killingsworth
• Elsamarie King, LSW
• Jay E Kloin, MD

• Pharmacist in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.