Ken Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

BK8211877 Issued in FL

Legal business name

KEN DRUGS INC

Doing business as

Pine Hills Discount Pharmacy

Practice address

4730 N Habana Ave
Suite 101
Tampa, FL 33614-7163

Phone

(813) 348-0095

Fax

(813) 872-6591

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth O Shobola

Title

Ceo

Phone

(813) 426-5419

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Hills Discount Pharmacy Doing business as

Tax ID family

Ken Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ken Drugs, Inc.

  dba Pinehills Discount Pharmacy

  • Community/Retail Pharmacy
  • Orlando, FL
  • NPI 1205957636
  NPD tax ID

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992712038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15779",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336845779",
            "telephone_number": "813-348-0095",
            "fax_number": "813-872-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-348-0095",
            "fax_number": "813-872-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOBOLA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-426-5419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "BK8211877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1098361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Hills Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Kemp, D.O
• Renee Antoinette Kempey, APRN
• Dustin Blake Kempf, DO
• Natalie Kempf
• Jessica Lauren Kemph, MA
• Ken Martin DO LLC
• Ahmed Kenawy, MD
• Melissa Ann Kendall, MD
• Ralph Woodrow Kendall Jr., PHARMD
• Anthony Michael Kendle, M.D.

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.