Active NPI
Kenneth Horn
- Pharmacist
- Dothan, AL
National Provider Identifier
1871047225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12423
- Practice address
- 1620 Ross Clark Cir
Dothan, AL 36301-5439 - Phone
- (334) 673-1208
- NPI assigned
- Aug 14, 2016
- Last updated
- Aug 14, 2016
- 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 | 12423 | AL | Primary |
Addresses
Primary practice location
1620 Ross Clark Cir
Dothan, AL 36301-5439
Mailing address
1620 Ross Clark Cir
Dothan, AL 36301-5439
Phone (334) 673-1208
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12423 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama, LLC | Past | Accepting new patients | |
| Publix Alabama LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1871047225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015439",
"telephone_number": "334-673-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015439",
"telephone_number": "334-673-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-14",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
- Hope Counseling Services LLC
- Savannah Karlee Hopper
- Nicolle Horaitis, CRNP
- Horizon Health Care Services Inc (National DME Supply)
- Horizons Counseling, LLC
- John E Hornsby, O.D.
- Nancy C Hornsby, CRNA
- Andrew Joseph Horton, DO
- House of Rescue Counseling (House of Rescue)
- Houston County Board of Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.