Kenny Tavoc, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

81113 Issued in CA

Practice address

275 N El Cielo Rd Ste C325
Palm Springs, CA 92262-6972

Phone

(760) 969-6560

NPI assigned

Dec 13, 2019

Last updated

Dec 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Interoperability endpoints

• Direct secure messaging: kenny.tavoc.p2@direct.mydohc.nextgenshare.com
• Direct secure messaging: kenny.tavoc.p5@direct.mydohc.nextgenshare.com

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1023656683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26355 SNOWDEN AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742871",
            "telephone_number": "909-435-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD STE C325",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-969-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVOC",
        "first_name": "KENNY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "81113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tantawi Plastics Cosmetic Vascular Surgery (Tantawi Plastic Surgery)
• Cody Jay Tapp, PA-C
• Muhammad Asif Taqi, M.D.
• Alyssa M Tate
• Erik Tatos I, MD
• Kaitlyn Elizabeth Taylor, DNP, AGACNP-BC
• Kyle Richard Taylor, C.M.T, M.M.T, M.H.T
• Sheila K Taylor
• Stephanie Marie Taylor
• Telecare Corporation (Riverside Desert CSU)

• Ambulatory Care Pharmacist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.