BRIAN DAVID KENNEDY (NPI# 1376695247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376695247 |
| Entity Type | Individual |
| Full Name | BRIAN DAVID KENNEDY |
| Credential | R.PH. |
| Practice Address |
223 S Lakeshore Dr Lake City MN 55041-1642 |
| Mailing Address |
30151 715th St Lake City MN 55041-5002 |
| Practice Telephone | 6513453411 |
| Practice Fax Number | 6513454848 |
| Mailing Telephone | 6513455010 |
| Mailing Fax Number | 6513451158 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 115760-6 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152991 | Brian Joseph Kennedy | Dentist | 1900 W Chandler Blvd Ste 22, Chandler, AZ 85224-6175 | 2020-07-29 |
| 1952958837 | Brian Kennedy | Student in an Organized Health Care Education/Training Program | 15231 N 62nd Dr, Glendale, AZ 85306-3288 | 2019-08-24 |
| 1982053112 | Brian Kennedy | Student in an Organized Health Care Education/Training Program | 19998 Shadow Creek Ct, Ashburn, VA 20147 | 2016-06-08 |
| 1588025134 | Brian Kennedy | Specialist/Technologist | 576 Hawthorne Woods Dr, Eagan, MN 55123-3059 | 2016-03-10 |
| 1679858823 | Brian Joseph Kennedy | Rehabilitation Practitioner | 825 Sierra Vista Dr, Apt #225, Las Vegas, NV 89169-9384 | 2011-10-19 |
| 1255665030 | Brian Eric Kennedy | Counselor | 2525 Wallingwood Dr Ste 1-201, Austin, TX 78746-6900 | 2009-09-25 |
| 1639216195 | Brian Thomas Kennedy | Dentist | 275 Pawling Ave, Troy, NY 12180-4800 | 2007-01-31 |
| 1043367790 | Brian Curtis Kennedy | Marriage & Family Therapist | 1800 Cooper Point Rd Sw Ste 18b, Olympia, WA 98502-1179 | 2007-01-04 |
| 1700975307 | Brian Patrick Kennedy | Massage Therapist | 3320 West Mcgraw St, #4, Seattle, WA 98199 | 2006-10-12 |
| 1952807562 | Brian Kennedy | Counselor | 2670 Yorktown Blvd, Unit 32, Brick, NJ 08723 | 2018-04-03 |
| Street Address |
223 S LAKESHORE DR |
| City | LAKE CITY |
| State | MN |
| Zip Code | 55041-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427101112 | Astrup Drug, Inc | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2007-01-18 |
| 1639784994 | Astrup Drug Inc | Pharmacy | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-09-14 |
| 1316558364 | Quinn Sweeney | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-08-13 |
| 1831727395 | Mark Thomas Kennedy | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
| 1851929137 | Megan M Ahrens | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
| 1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1871945469 | Heidi Ann Eisenman | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041 | 2016-07-07 |
| 1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
| 1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
| 1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
| Find all providers in zip 55041 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910943 | Colleen Courey | Pharmacist | 1465 W Us Highway 90 Ste 110, Lake City, FL 32055-6154 | 2020-10-21 |
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1932626009 | Trinity H Williams | Pharmacist | 340 Nw Commerce Dr Fl 32055, Lake City, FL 32055-4709 | 2017-08-29 |
| 1215476601 | Emily Wilson | Pharmacist | 347 Sw Main Blvd Ste 102, Lake City, FL 32025-5262 | 2017-02-17 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1467850974 | Michael Eric Johnson | Pharmacist | 161 Sw Stonegate Ter, Suite 105, Lake City, FL 32024-3452 | 2014-12-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| Find all providers in LAKE CITY | ||||
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| 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.