Kenneth Hodge, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01373700 Issued in NJ

Practice address

2 E Main St
Mendham, NJ 07945-1505

Phone

(973) 543-2525

Fax

(973) 543-2396

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Pharmacy LLC

  dba Robinson Wellness Pharmacy

  • Community/Retail Pharmacy
  • Mendham, NJ
  • NPI 1689657744
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972640688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 DRAKESTOWN RD",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369637",
            "telephone_number": "973-584-1198",
            "fax_number": "973-543-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451505",
            "telephone_number": "973-543-2525",
            "fax_number": "973-543-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01373700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen S Hennessey
• Taylor Kayla Herring, LSW
• Shannon Hill
• Himark Speech and Voice LLC
• Jillian Hocking, PHARM.D.
• Debra Lynn Holtzman, M.S, CCC-SLP
• Jennifer Hopler
• Caitlin Blood Hydock, MPH, CHES, NBC-HWC
• Iconic Medical and Wellness Centers
• Clelia C Ilacqua, DDS

• Pharmacist in Mendham, NJ
• Providers in Mendham, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.