Jeffrey D Kennicutt, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

I032556-1 Issued in NY

Practice address

315 S Manning Blvd
St Peters Hospital Pharmacy Department
Albany, NY 12208-1707

Phone

(518) 525-1266

Fax

(518) 525-6986

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1821081076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FIFE DR",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121597208",
            "telephone_number": "518-525-1266",
            "fax_number": "518-525-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "address_2": "ST PETERS HOSPITAL PHARMACY DEPARTMENT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1266",
            "fax_number": "518-525-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNICUTT",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "I032556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Katherine Kennedy, PH.D.
• Margaret Kennedy, PA
• Shannon M Kennedy, NP
• Thomas M. Kennedy, M.D.
• Kenneth L. Stack Optometrist, PC
• Sarah Elizabeth Kenning, M.S.
• Kenneth E Kent Jr., NP
• Madison Kent
• Alexander Benjamin Kenton, MD
• McKayla Elizabeth Keogh, CERTIFIED DOULA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.