Individual provider Active NPI

Daniel D Kenea

  • Pharmacist
  • College Park, MD
National Provider Identifier
1366105587
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19409 Issued in MD
Practice address
9518 48TH Ave
College Park, MD 20740-1604
Phone
(410) 868-5037
NPI assigned
Oct 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 19409 MD Primary

Addresses

Primary practice location

9518 48TH Ave
College Park, MD 20740-1604

Mailing address

9518 48TH Ave
College Park, MD 20740-1604
Phone (410) 868-5037

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://aspenrxhealth.com/ Other

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

LicenseStateTypeSpecialty
19409MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1366105587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 48TH AVE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401604",
            "telephone_number": "410-868-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 48TH AVE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401604",
            "telephone_number": "410-868-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEA",
        "first_name": "DANIEL",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://aspenrxhealth.com/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://aspenrxhealth.com/",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9518 48th Ave",
            "city": "College Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207401604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.