Active NPI
Owen G. Kennedy, RPH
- Pharmacist
- Amarillo, TX
National Provider Identifier
1033311576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20468
- Practice address
- 3324 S Georgia St
Amarillo, TX 79109-3446 - Phone
- (806) 352-2711
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20468 | TX | Primary |
Addresses
Primary practice location
3324 S Georgia St
Amarillo, TX 79109-3446
Mailing address
3614 W Point Dr
Amarillo, TX 79121-1748
Phone (806) 355-4887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20468 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033311576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 W POINT DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791211748",
"telephone_number": "806-355-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 S GEORGIA ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093446",
"telephone_number": "806-352-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "OWEN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.