Kenneth Powell Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2020034346 Issued in MO

Practice address

5503 Delmar Blvd Ste B
Saint Louis, MO 63112-3122

Phone

(901) 596-6957

Fax

(314) 200-0313

NPI assigned

May 22, 2024

Last updated

May 22, 2024By 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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pharmacy Franchise, LLC

  dba GreaterHealth Pharmacy & Wellness

  • Pharmacy
  • Saint Louis, MO
  • NPI 1043950769
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1760221436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 DELMAR BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123122",
            "telephone_number": "901-596-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 DELMAR BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123122",
            "telephone_number": "901-596-6957",
            "fax_number": "314-200-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2020034346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Powell, B.S.
• Dana Marie Powell, LPC
• Diane J Powell, PH.D., L.P.C.
• Garren Matthew Powell, MD
• Jill K Powell, M.D.
• Kenneth Senior Powell II, D.D.S.
• Kevin T Powell, MD
• Marquita S Powell
• Matthew Powell, MD
• Matthew A Powell, MD

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.