Ken Drugs, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22116 Issued in FL

Legal business name

KEN DRUGS, INC.

Doing business as

Pinehills Discount Pharmacy

Practice address

4525 N Pine Hills Rd
Orlando, FL 32808-1952

Phone

(407) 425-2615

Fax

(407) 423-1648

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth O Shobola, R. PH

Title

Ceo

Phone

(813) 426-5419

Specialties & licenses 1

Addresses

Other names 1

• Pinehills Discount Pharmacy Doing business as

Tax ID family

Ken Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ken Drugs Inc

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1992712038
  NPD tax ID

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205957636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15779",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336845779",
            "telephone_number": "813-348-0095",
            "fax_number": "813-872-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081952",
            "telephone_number": "407-425-2615",
            "fax_number": "407-423-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOBOLA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-426-5419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehills Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kai Rebecca Kelmachter, AU.D.
• Ashley Nicole Kelso
• Jessica Marie Keltner, PT, OCS
• Heidy Maritza Kempthorne
• Abigail Kempton, RBT
• Anne L. Kencos-Hajek, D.D.S.
• Lauren Marie Kendall Rauchfuss, M.D.
• Joanie Ruth Kendall, PA-C
• James B Kendrick Jr.
• James Erasmus Kendrick IV, MD

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.