Individual provider Active NPI

Lisa Kenney, PHARMD

  • Pharmacist
  • Warrensville Heights, OH
National Provider Identifier
1366027435
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03439913 Issued in OH
Practice address
4510 Richmond Rd
Warrensville Heights, OH 44128-5757
Phone
(216) 545-8329
Fax
(216) 201-6743
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03439913 OH Primary

Addresses

Primary practice location

4510 Richmond Rd
Warrensville Heights, OH 44128-5757

Mailing address

4510 Richmond Rd
Warrensville Heights, OH 44128-5757
Phone (216) 545-8329

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

LicenseStateTypeSpecialty
03439913OHMDPharmacist

Interoperability endpoints

  • Direct secure messaging: lkenney25442@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1366027435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285757",
            "telephone_number": "216-545-8329",
            "fax_number": "216-201-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285757",
            "telephone_number": "216-545-8329",
            "fax_number": "216-201-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "LISA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03439913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.