Active NPI
Kaley Kennedy
- Pharmacist
- Tupelo, MS
National Provider Identifier
1649182270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-14356
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4996 - Phone
- (662) 377-4239
- NPI assigned
- Sep 18, 2026
- Sex
- Female
- 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 | E-14356 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4996
Mailing address
141 Rough Wood Dr
Pontotoc, MS 38863-6109
Phone (601) 934-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1649182270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ROUGH WOOD DR",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388636109",
"telephone_number": "601-934-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014996",
"telephone_number": "662-377-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-14356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.