Active NPI
Paul Joseph Kenney, PHARMD
- Pharmacist
- Canal Winchester, OH
National Provider Identifier
1386420743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03237494
- Practice address
- 6275 Winchester Blvd
Canal Winchester, OH 43110-6537 - Phone
- (614) 264-6839
- NPI assigned
- Sep 1, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03237494 | OH | Primary |
Addresses
Primary practice location
6275 Winchester Blvd
Canal Winchester, OH 43110-6537
Mailing address
67 Hawthorne Dr
Ashville, OH 43103-9374
Phone (614) 738-0123
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 |
|---|---|---|---|
| 03237494 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1386420743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 HAWTHORNE DR",
"city": "ASHVILLE",
"state": "OH",
"postal_code": "431039374",
"telephone_number": "614-738-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6275 WINCHESTER BLVD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431106537",
"telephone_number": "614-264-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.