Active NPI
Kenneth Joseph Ackerman, PHARMACIST
- Pharmacist
- Miami, FL
National Provider Identifier
1508139270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19626
- Practice address
- 200 SW 13TH St
Miami, FL 33130-4220 - Phone
- (305) 854-6340
- NPI assigned
- Feb 10, 2012
- 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 | 19626 | FL | Primary |
Addresses
Primary practice location
200 SW 13TH St
Miami, FL 33130-4220
Mailing address
200 SW 13TH St
Miami, FL 33130-4220
Phone (305) 854-6340
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 |
|---|---|---|---|
| 19626 | FL | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1508139270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SW 13TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331304220",
"telephone_number": "305-854-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SW 13TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331304220",
"telephone_number": "305-854-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "KENNETH",
"middle_name": "JOSEPH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "19626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.