Kennedy Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006041 Issued in GA

Legal business name

KENNEDY DRUGS

Doing business as

Kennedy Drugs

Practice address

524 Poplar St
Macon, GA 31201-2717

Phone

(478) 743-4700

Fax

(478) 743-1103

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria MachalkNPI 1679588438

Title

Owner

Phone

(478) 625-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kennedy Drugs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria E. Machalk, RPH

  • Pharmacy
  • Louisville, GA
  • NPI 1679588438
  Authorized official Same address or phone

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1912370834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BROAD ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341619",
            "telephone_number": "478-625-7575",
            "fax_number": "478-625-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012717",
            "telephone_number": "478-743-4700",
            "fax_number": "478-743-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "MACHALK",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-625-7575"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Kelly, PT
• Quintisia Berete Kelly
• Kara A Kelsey, MD
• Pamela Kelson
• Ken Zoodsma & Associates
• Kennedy Drugs Inc (Kennedy Drugs)
• Joanne Kennedy, MD
• Katherine Kennedy
• Lauren Kennon, LCSW
• Guirshney Samarah Kenol, MD

• Community/Retail Pharmacy in Macon, GA
• Providers in Macon, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.