Active NPI
Kenneth C. Smith, R.PH.
- Pharmacist
- Bradenton, FL
National Provider Identifier
1386716736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0018155
- Practice address
- 6150 14TH St W
Bradenton, FL 34207-4622 - Phone
- (941) 756-3582
- Fax
- (941) 756-3582
- NPI assigned
- Nov 14, 2006
- 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 | PS0018155 | FL | Primary |
Addresses
Primary practice location
6150 14TH St W
Bradenton, FL 34207-4622
Mailing address
1102 134TH St E
Bradenton, FL 34212-9300
Phone (941) 745-1407
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 |
|---|---|---|---|
| PS0018155 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386716736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 134TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342129300",
"telephone_number": "941-745-1407",
"fax_number": "941-756-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074622",
"telephone_number": "941-756-3582",
"fax_number": "941-756-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KENNETH",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0018155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.