Kenneth Nolan Perry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27843 Issued in CA

Practice address

160 Morgan Way
Mount Shasta, CA 96067-2565

Phone

(530) 926-4460

Fax

(530) 926-2080

NPI assigned

Aug 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1154755577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NUGGET WAY",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979630",
            "telephone_number": "530-905-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MORGAN WAY",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672565",
            "telephone_number": "530-926-4460",
            "fax_number": "530-926-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KENNETH",
        "middle_name": "NOLAN",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "27843",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "9853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parish Anesthesia of California, a Professional Medical Corporation
• Nathan Henderson Parker, MD
• Elaine Patterson, RDN
• Michael Pautz, MFTI
• Boris Andrew Pereira, PHARMACIST
• Peter Grant MD
• Rodney Petersen
• Allison Pinkerton, LMFT
• Jessi Punt
• Olivia Sheriann-Pease Pyle

• Pharmacist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.