Calvin Kennedy

Primary specialty

PharmacistTaxonomy code 183500000X

License

068555 Issued in NY

Practice address

1000 Pennsylvania Ave
Elmira, NY 14904-2609

Phone

(607) 733-6262

NPI assigned

Nov 8, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)
• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • Elmira, NY
  • NPI 1982793618
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1740945377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERWIN ST",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042609",
            "telephone_number": "607-733-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP E-PROFILE ID",
            "identifier": "1446921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "068555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Benjamin Kellner, MD
• Dylan Sean Kellogg, MD
• April A Kelly
• Donald Kelly, RPH
• Valerie J Kelly
• Lionel Joseph Kennedy, LPN
• Seamus Dean Kennedy, LAC., LMT
• Tifanie Jeanne Keough, MSPT
• Kristen Kepner
• Brigid Kernan-Terry, OTR/L

• Pharmacist in Elmira, NY
• Providers in Elmira, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.