Active NPI
Kenneth William Lord, PHARMD
- Pharmacist
- Fuquay Varina, NC
National Provider Identifier
1285285254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029222
- Practice address
- 1051 E Broad St
Fuquay Varina, NC 27526-1799 - Phone
- (919) 567-9130
- NPI assigned
- Sep 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28884 | NC | |
| Pharmacist | 183500000X | RPH029222 | GA | Primary |
Addresses
Primary practice location
1051 E Broad St
Fuquay Varina, NC 27526-1799
Mailing address
1051 E Broad St
Fuquay Varina, NC 27526-1799
Phone (919) 567-9130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029222 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1285285254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 E BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261799",
"telephone_number": "919-567-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 E BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261799",
"telephone_number": "919-567-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-21",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28884",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.