Active NPI
Kenneth Dewayne Lanier, PHARM. D
- Pharmacist
- Tampa, FL
National Provider Identifier
1689953267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48064
- Practice address
- 20429 Autumn Fern Ave
Tampa, FL 33647-2967 - Phone
- (303) 524-5972
- NPI assigned
- Aug 12, 2011
- 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 | PS48064 | FL | Primary |
Addresses
Primary practice location
20429 Autumn Fern Ave
Tampa, FL 33647-2967
Mailing address
20429 Autumn Fern Ave
Tampa, FL 33647-2967
Phone (303) 524-5972
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48064 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praetorian Medical Group LLC | Current | Accepting new patients | |
| Aveo Neurohealth LLC | Current | Accepting new patients | |
| Pharmacy Plus Health LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Sugar Land, TX
- NPI 1114433612
-
- Community/Retail Pharmacy
- Fulshear, TX
- NPI 1891358537
-
- Health Service Clinic/Center
- Katy, TX
- NPI 1528576378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1689953267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20429 AUTUMN FERN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472967",
"telephone_number": "303-524-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20429 AUTUMN FERN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472967",
"telephone_number": "303-524-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "KENNETH",
"middle_name": "DEWAYNE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.