GARY MARTIN KENNEDY


Address: 108 Pavilion Pkwy, Fayetteville, GA 30214-4056
Phone: 7704604106

GARY MARTIN KENNEDY (NPI# 1316284003) 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) 1316284003
Entity Type Individual
Full Name GARY MARTIN KENNEDY
Practice Address 108 Pavilion Pkwy
Fayetteville
GA 30214-4056
Mailing Address 108 Pavilion Pkwy
Fayetteville
GA 30214
Practice Telephone 7704604106
Practice Fax Number 7707160674
Mailing Telephone 7704604106
Mailing Fax Number 7707160674
Enumeration Date 2013-01-15
Last Update Date 2013-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 013651 GA Pharmacy Service Providers

Other Providers GARY KENNEDY

NPI Name Taxonomy Address Enumeration
1962735894 Gary Allen Kennedy Dentist 202 E 5th St, Marysville, OH 43040 2009-09-10
1669543047 Gary J Kennedy Psychiatry & Neurology Mmc - Dept. of Psychiatry, 111 E. 210th Street, Bronx, NY 10467 2006-11-10
1578585063 Gary J Kennedy Family Medicine 2400 32nd Ave S, Fargo, ND 58103-5800 2006-07-24

Office Location

Street Address 108 PAVILION PKWY
City FAYETTEVILLE
State GA
Zip Code 30214-4056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083654552 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 108 Pavilion Pkwy, Fayetteville, GA 30214-4056 2006-06-06
1194211425 Monica Girish Patel Pharmacist 108 Pavilion Pkwy, Fayetteville, GA 30214-4056 2018-07-10
1023479334 Sandra Lai Quach Pharmacist 108 Pavilion Pkwy, Fayetteville, GA 30214-4056 2016-03-14
1134469729 John Mack Barrow Pharmacist 108 Pavilion Pkwy, Fayetteville, GA 30214-4056 2013-02-19
1538407952 Patrick Dewayne Mcclain Pharmacist 108 Pavilion Pkwy, Fayetteville, GA 30214-4056 2013-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1710587605 Jordan Tyler Reed Pharmacist 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 2020-10-29
1891395901 Todd Johnson Pharmacist 660 W Mlk Blvd, Fayetteville, AR 72701-6443 2020-10-28
1669087953 Elton Wayne Long Pharmacist 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 2020-09-13
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1548892268 Kimberly Gardner Pharmacist 4205 Ferncreek Dr, Fayetteville, NC 28314-2537 2020-02-11
1326685249 Belinda Diane Abrams Pharmacist 175 Jacob Ct, Fayetteville, GA 30214-7541 2019-12-10
1699332098 Kyndra Williams Pharmacist 101 Robeson St Ste 101, Fayetteville, NC 28301-5552 2019-05-22
1235610098 Debra W Nichol Pharmacist 217 W Maple Ave # 2, Fayetteville, WV 25840-1413 2018-08-28
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

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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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