Kennedy Jai Saulsberry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

87392 Issued in CA

Practice address

5822 S Vermont Ave
Los Angeles, CA 90044-3712

Phone

(323) 750-5222

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kennedy Jai Thompson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1578278669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SHERMAN PL APT 8",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908047833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5822 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443712",
            "telephone_number": "323-750-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULSBERRY",
        "first_name": "KENNEDY",
        "middle_name": "JAI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "87392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "THOMPSON",
            "middle_name": "JAI",
            "prefix": "MRS.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Saul
• Ronald S. Saul, MD
• Ian Joseph Saulog
• Sandra S Saulog, PT
• Nina Louise Sauls, NP
• Paris Saulsberry
• Vallorie J Saulsberry, MD
• Ayako R Saunders, RNP
• Domonique Porche' Saunders, LVN
• Jordan Saunders

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.