Active NPI
Kenneth Speidel, PHARMD.
- Pharmacotherapy Pharmacist
- Tallmadge, OH
National Provider Identifier
1356619902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 03314351
- Practice address
- 232 West Ave
Tallmadge, OH 44278-2110 - Phone
- (330) 633-0714
- NPI assigned
- Dec 11, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 03314351 | OH | Primary |
Addresses
Primary practice location
232 West Ave
Tallmadge, OH 44278-2110
Mailing address
232 West Ave
Tallmadge, OH 44278-2110
Phone (330) 633-0714
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 |
|---|---|---|---|
| 03314351 | OH | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323561600000",
"number": "1356619902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 WEST AVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782110",
"telephone_number": "330-633-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 WEST AVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782110",
"telephone_number": "330-633-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIDEL",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-11",
"last_updated": "2011-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OH",
"license": "03314351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.