Active NPI
Alice Jittkaroonrus Kenmepol, RPH
- Pharmacist
- Ventura, CA
National Provider Identifier
1841992658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87789
- Practice address
- 888 South Hill Road
Ventura, CA 93003 - NPI assigned
- Mar 17, 2023
- Sex
- Female
- 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 | 87789 | CA | Primary |
Addresses
Primary practice location
888 South Hill Road
Ventura, CA 93003
Mailing address
8167 Shadyglade Ave
North Hollywood, CA 91605-1334
Phone (818) 332-6471
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87789 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1841992658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8167 SHADYGLADE AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916051334",
"telephone_number": "818-332-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SOUTH HILL ROAD",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENMEPOL",
"first_name": "ALICE",
"middle_name": "JITTKAROONRUS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.