Active NPI
Kenyon Perkins
- Pharmacist
- Maryland Heights, MO
National Provider Identifier
1346129657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2025016146
- Practice address
- 12509 Dorsett Rd
Maryland Heights, MO 63043-3909 - Phone
- (314) 434-4224
- NPI assigned
- Aug 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2025016146 | MO | Primary |
Addresses
Primary practice location
12509 Dorsett Rd
Maryland Heights, MO 63043-3909
Mailing address
12509 Dorsett Rd
Maryland Heights, MO 63043-3909
Phone (314) 434-4224
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025016146 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1346129657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 DORSETT RD",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433909",
"telephone_number": "314-434-4224",
"fax_number": "314-434-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12509 DORSETT RD",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433909",
"telephone_number": "314-434-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "KENYON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2025016146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.