Individual provider Active NPI

John A Kehinde, PHAMD

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1780352658
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63153 Issued in FL
Practice address
19034 Bruce B Downs Blvd
Tampa, FL 33647-2434
Phone
(813) 631-1911
Fax
(813) 977-6597
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63153 FL
Pharmacist 183500000X PS63153 FL Primary

Addresses

Primary practice location

19034 Bruce B Downs Blvd
Tampa, FL 33647-2434

Mailing address

12318 Newt CT
New Port Richey, FL 34654-6103
Phone (951) 505-0979

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

State licenses

LicenseStateTypeSpecialty
63153FLMDPharmacist
PS63153FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1780352658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 NEWT CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346546103",
            "telephone_number": "951-505-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19034 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472434",
            "telephone_number": "813-631-1911",
            "fax_number": "813-977-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHINDE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "63153",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63153",
            "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 Sep 3, 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.