Kendrick Joseph Panoch, PHARMD RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS69072 Issued in FL

Practice address

4500 San Pablo Rd
Jacksonville, FL 32224-1865

Phone

(904) 956-1700

NPI assigned

Jul 17, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1659263374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 HODGES BLVD APT 1701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240207",
            "telephone_number": "561-962-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-956-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOCH",
        "first_name": "KENDRICK",
        "middle_name": "JOSEPH",
        "credential": "PHARMD RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS69072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maoyin Pang, MD, PHD
• Faith Panganiban
• Payton Pangburn
• Brandon Panichello, PHARM.D.
• Pavalan Panneer Selvam, MBBS
• Maria Pansini
• Sally-Ann L Pantin, MD
• Lindsay Pantinakis
• Duke G Pao, MD
• Jordan Mari Paone

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.