Tarah Lynn Kennedy, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS69778 Issued in FL

Practice address

12644 SW 8TH CT
Davie, FL 33325-5510

Phone

(740) 975-6077

NPI assigned

Oct 28, 2025

Last updated

Oct 28, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1154299428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12644 SW 8TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12644 SW 8TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255510",
            "telephone_number": "740-975-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TARAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS69778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Allen Keller, DDS
• Kelli Richard-Lopez LCSW
• Denise Kelly
• Maylen Kelly
• Jordan Lyn Kennedy, OD
• Wren Kerce
• Dina Kershteyn
• Ruth Kervin
• Marc M Kesselman, D.O.
• Elizabeth Keyes, BCBA

• Pharmacist in Davie, FL
• Providers in Davie, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.