KENNETH WEBSTER FUQUA SR.


Address: 1122 Old Polk City Rd, Lakeland, FL 33809-6622
Phone: 8638582828

KENNETH WEBSTER FUQUA SR. (NPI# 1174061048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174061048
Entity Type Individual
Full Name KENNETH WEBSTER FUQUA SR.
Credential RPH;CPH
Practice Address 1122 Old Polk City Rd
Lakeland
FL 33809-6622
Practice Telephone 8638582828
Mailing Telephone 8638582828
Enumeration Date 2017-02-10
Last Update Date 2017-02-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835G0303X Pharmacist
Specialization: Geriatric
PU00102 FL Pharmacy Service Providers
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
PS11329 FL Pharmacy Service Providers

Office Location

Street Address 1122 OLD POLK CITY RD
City LAKELAND
State FL
Zip Code 33809-6622

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1235528753 Christia Mccann Physician Assistant 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 2015-01-21
1548679616 Ashley Frances Hamarowicz Physical Therapist 771 Carpenters Way, Lakeland, FL 33809 2014-08-04
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1164769980 Christopher Fisher Hearing Instrument Specialist 3800 North Rd 98, Ste 500, Lakeland, FL 33809 2013-01-14
1023374063 Eagle Lake Pharmacy Inc Pharmacy 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 2012-04-04
1851669675 Reginald Keith Jenkins Pharmacist 1043 Walt Williams Road, Lakeland, FL 33809 2011-12-07
1578859633 Jill Margaret Waldrop Pharmacist 6600 N. Socrum Loop, Lakeland, FL 33809 2011-06-27
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Taxonomy Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689209587 Tonia Michelle Murray Pharmacist 7820 111th Ter E, Parrish, FL 34219-2830 2020-03-11
1447814785 Julie Marie Pippins Pharmacist 806 Ocean Front, Neptune Beach, FL 32266-6057 2019-04-23
1326518986 Donald George Williams Jr. Pharmacist 5500 Military Trail, Jupiter, FL 33458 2018-11-27
1255809943 Sarah Powers Pharmacist 3804 65th Ave E, Sarasota, FL 34243-7923 2018-11-12
1124595061 Stefan Correa Pharmacist 9498 S.orange Blossom Trl, Orlando, FL 32837-8326 2018-10-29
1811475130 Kwame Kyerematen-afrani Pharmacist 6266 S Congress Ave Ste L12, Lantana, FL 33462-2365 2018-07-30
1548773906 Leslie Alteri Pharmacist 1973 Wild Lime Dr, Sanibel, FL 33957-2403 2017-11-08
1093254708 Toni Elkach Pharmacist 13124 Winfield Scott Blvd, Orlando, FL 32837-4007 2017-02-14
1619329810 Curtis Hearn Pharmacist 2113 W Lakeview Blvd, N Fort Myers, FL 33903-5813 2016-07-12
1629437165 Shameik Brooks Pharmacist 655 W 8th St # C-89, Jacksonville, FL 32209-6511 2016-02-11
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Competitor

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City LAKELAND
Zip Code 33809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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