Kenneth Ray Pearson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

26018653A Issued in IN

Practice address

226 N Halleck St
Demotte, IN 46310-8633

Phone

(219) 987-4900

NPI assigned

Sep 22, 2011

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Demotte, IN
  • NPI 1225266109
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1902189343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11118 WOODSIDE DR",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463107801",
            "telephone_number": "219-987-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N HALLECK ST",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108633",
            "telephone_number": "219-987-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Mentor Healthcare, LLC
• Northshore Health Centers, Inc
• Northshore Health Centers, Inc.
• One - USA
• Zoe Parman
• John Joseph Perry, RPH
• Teresa Postma
• Preferred Choice Dental LLC
• Rci (WRS), LLC.
• Hany Hany Reyad, DMD

• Pharmacist in Demotte, IN
• Providers in Demotte, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.