Active NPI
Kenneth Kennedy, PHARMD
- Pharmacist
- Lexington, KY
National Provider Identifier
1124346671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014475
- Practice address
- 800 Rose St
H-110
Lexington, KY 40536-0001 - Phone
- (270) 863-2391
- NPI assigned
- May 7, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 014475 | KY | |
| Pharmacist | 183500000X | 014475 | KY | Primary |
Addresses
Primary practice location
800 Rose St
H-110
Lexington, KY 40536-0001
Mailing address
406 Greenlawn CT
Lexington, KY 40517-1412
Phone (270) 863-2391
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014475 | KY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1124346671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 GREENLAWN CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171412",
"telephone_number": "270-863-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "H-110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "270-863-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "014475",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.