Active NPI
Bobby Wayne Kemp II, PHARM.D.
- Pharmacist
- Brandon, FL
National Provider Identifier
1821568445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57120
- Practice address
- 901 Lithia Pinecrest Rd
Brandon, FL 33511-6120 - Phone
- (813) 261-0532
- NPI assigned
- Nov 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS57120 | FL | Primary |
Addresses
Primary practice location
901 Lithia Pinecrest Rd
Brandon, FL 33511-6120
Mailing address
8953 Turnstone Haven PL
Tampa, FL 33619-0826
Phone (850) 525-3508
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS57120 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba WalMart Pharmacy 10-5826
- Community/Retail Pharmacy
- Brandon, FL
- NPI 1336434315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1821568445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8953 TURNSTONE HAVEN PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190826",
"telephone_number": "850-525-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116120",
"telephone_number": "813-261-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "BOBBY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.