Active NPI
Joe Kenady, R.PH
- Pharmacist
- Craig, CO
National Provider Identifier
1649615097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13505
- Practice address
- 505 W Victory Way
Craig, CO 81625-2929 - Phone
- (970) 824-4449
- NPI assigned
- Apr 29, 2013
- 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 | 13505 | CO | Primary |
Addresses
Primary practice location
505 W Victory Way
Craig, CO 81625-2929
Mailing address
505 W Victory Way
Craig, CO 81625-2929
Phone (970) 824-4449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13505 | Other | CO | COLORADO PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 13505 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | 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.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Craig, CO
- NPI 1962438218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1649615097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W VICTORY WAY",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252929",
"telephone_number": "970-824-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W VICTORY WAY",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252929",
"telephone_number": "970-824-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENADY",
"first_name": "JOE",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO PHARMACIST LICENSE NUMBER",
"identifier": "13505",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.