Matthew Donald Kennedy, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR6034 Issued in ME

Practice address

335 Ocean House Rd
Cape Elizabeth, ME 04107-2441

Phone

(207) 799-1631

Fax

(207) 741-5043

NPI assigned

Oct 31, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• CVS State Capital LLC

  dba CVS Pharmacy #17844

  • Pharmacy
  • Auburn, ME
  • NPI 1164140398
  NPD (past)

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1265032817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OCEAN HOUSE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072441",
            "telephone_number": "207-799-1631",
            "fax_number": "207-741-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OCEAN HOUSE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072441",
            "telephone_number": "207-799-1631",
            "fax_number": "207-741-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MATTHEW",
        "middle_name": "DONALD",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR6034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx00805@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "buisness email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "335 Ocean House Rd",
            "city": "Cape Elizabeth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041072441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia L Orr (Julia Orr, LCSW)
• Zhyldyz Kabaeva, M.D.
• Kareem Abdelaal DMD PLLC (Cape Elizabeth Dental Associates)
• Kathryn Mitchell Counseling, LLC
• Polly Keniston
• Alexandra Wilson Kennie, DPT
• Kerry Bennett, LLC
• Peter Kouros
• Laura McGrath LLC (Cape Physical Therapy)
• Live Well Direct Primary Care and Consulting

• Pharmacist in Cape Elizabeth, ME
• Providers in Cape Elizabeth, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.