Nicole Kennedy

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-12905 Issued in KS

Practice address

713 5TH St
Clay Center, KS 67432-2936

Phone

(785) 632-3121

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By 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

State licenses

Practice roles

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.

• Clay Center Pharmacy Inc

  dba Ferguson Rexall Drugs

  • Community/Retail Pharmacy
  • Clay Center, KS
  • NPI 1043317886
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1184442931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 5TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322936",
            "telephone_number": "785-632-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 5TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322936",
            "telephone_number": "785-632-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli Hubka, OD
• Sarah Michelle Hunt
• John M. Wertin, D.C., P.a. (Alternative Healthcare Center)
• Linda M Johnston, DC
• John Kelley, M.D.
• Elizabeth A Koerner, M.D.
• Dustin Kruse, DDS
• Audrey Claire Lahodny, LCMFT, LMAC
• Carrie A Lane, R.PH.
• David Christen Larson, MD

• Pharmacist in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.