Kennedy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112554 Issued in AL

Legal business name

KENNEDY LLC

Doing business as

Shoals Pharmacy

Practice address

859 E Hobson St
Tuscumbia, AL 35674-1428

Phone

(256) 389-9800

Fax

(256) 389-1594

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Lee Kennedy, PHARM.D.

Title

Pharmacist/Owner

Phone

(256) 389-9800

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shoals Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Lee Kennedy Jr., PHARM.D.

  • Pharmacist
  • Tuscumbia, AL
  • NPI 1417296104
  NPD

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1174869622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 E HOBSON ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741428",
            "telephone_number": "256-389-9800",
            "fax_number": "256-389-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E HOBSON ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741428",
            "telephone_number": "256-389-9800",
            "fax_number": "256-389-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "256-389-9800",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112554",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138564",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145720",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoals Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lynne Jantzen, CRNP
• Anna Grace Jeffreys, BCBA, LBA
• Ivee G Jenkins
• Jmac Med LLC
• Srihari Das Kanuru, MD
• Roger Lee Kennedy Jr., PHARM.D.
• Ashtyn F King
• Clinton West Kirchner
• Jacky Ray Langston, DC
• April Lawson

• Community/Retail Pharmacy in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.