Kenneth John Mitchell II, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP442160 Issued in PA

Practice address

100 Supercenter Dr
Clearfield, PA 16830

Phone

(814) 765-8587

NPI assigned

Mar 28, 2008

Last updated

Mar 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1720250830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUPERCENTER DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "16830",
            "telephone_number": "814-765-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUPERCENTER DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "16830",
            "telephone_number": "814-765-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory C Mieckowski, M.D.
• Jamie L. Mier, DPT
• Courtney L Mikesell, COTA
• Marsh Mills, RN
• Rashmi Mishra, M.D.
• Robert John Mollica, P.T.
• Orlinda Moore
• Samantha Leigh Morgan, MS, ATC, PES
• George C Mosch II, M.D.
• Melanie Marie Moskel, LPC

• Pharmacist in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.