Active NPI
Kenneth Arnett
- Pharmacist
- St Augustine, FL
National Provider Identifier
1407410871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS24736
- Practice address
- 300 Health Park Blvd Ste 1002
St Augustine, FL 32086-3702 - Phone
- (904) 824-4556
- Fax
- (904) 829-6120
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS24736 | FL | Primary |
Addresses
Primary practice location
300 Health Park Blvd Ste 1002
St Augustine, FL 32086-3702
Mailing address
300 Health Park Blvd Ste 1002
St Augustine, FL 32086-3702
Phone (904) 824-4556
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS24736 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1407410871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD STE 1002",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863702",
"telephone_number": "904-824-4556",
"fax_number": "904-829-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD STE 1002",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863702",
"telephone_number": "904-824-4556",
"fax_number": "904-829-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNETT",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS24736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.