Active NPI
Kenneth Jeromy McGowan, RPH
- Pharmacist
- Mount Vernon, OH
National Provider Identifier
1093006645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.03223189
- Practice address
- 4 Newark Rd
Mount Vernon, OH 43050-4113 - Phone
- (740) 393-2822
- Fax
- (740) 393-2837
- NPI assigned
- Apr 29, 2011
- Last updated
- Apr 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH.03223189 | OH | Primary |
| Pharmacist | 183500000X | PS44124 | FL |
Addresses
Primary practice location
4 Newark Rd
Mount Vernon, OH 43050-4113
Mailing address
2948 Township Road 659
Loudonville, OH 44842-9403
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 |
|---|---|---|---|
| PS44124 | FL | MD | Pharmacist |
| RPH.03223189 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1093006645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 TOWNSHIP ROAD 659",
"city": "LOUDONVILLE",
"state": "OH",
"postal_code": "448429403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NEWARK RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430504113",
"telephone_number": "740-393-2822",
"fax_number": "740-393-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "KENNETH",
"middle_name": "JEROMY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-29",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03223189",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.