Active NPI
Kenneth John Zielinski, RPH
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1376850503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS26385
- Practice address
- 10400 S US Highway 1
Port St Lucie, FL 34952-5600 - Phone
- (561) 758-9311
- Fax
- (866) 238-9470
- NPI assigned
- Sep 9, 2010
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 411055 | MI | |
| Pharmacist | 183500000X | 12249 | NE | |
| Pharmacist | 183500000X | 17573 | LA | |
| Pharmacist | 183500000X | 23610 | TN | |
| Pharmacist | 183500000X | PD10077 | AR | |
| Pharmacist | 183500000X | 013156 | KY | |
| Pharmacist | 183500000X | 5089 | ND | |
| Pharmacist | 183500000X | S017583 | AZ | |
| Pharmacist | 183500000X | 03329160 | OH | |
| Pharmacist | 183500000X | 0012006 | OR | |
| Pharmacist | 183500000X | 17808 | NV | |
| Pharmacist | 183500000X | PS26385 | FL | Primary |
Addresses
Primary practice location
10400 S US Highway 1
Port St Lucie, FL 34952-5600
Mailing address
15688 80TH Dr N
West Palm Beach, FL 33418-1836
Phone (561) 758-9311
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10077 | AR | MD | Pharmacist |
| S017583 | AZ | MD | Pharmacist |
| PS26385 | FL | MD | Pharmacist |
| 013156 | KY | MD | Pharmacist |
| 17573 | LA | MD | Pharmacist |
| 411055 | MI | MD | Pharmacist |
| 12249 | NE | MD | Pharmacist |
| 03329160 | OH | MD | Pharmacist |
| 0012006 | OR | MD | Pharmacist |
| 17808 | NV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1376850503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15688 80TH DR N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334181836",
"telephone_number": "561-758-9311",
"fax_number": "866-238-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 S US HIGHWAY 1",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525600",
"telephone_number": "561-758-9311",
"fax_number": "866-238-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "411055",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12249",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17573",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "23610",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10077",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013156",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5089",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017583",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03329160",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0012006",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17808",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.