THOMAS ROBERT KENNEDY (NPI# 1558615831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558615831 |
| Entity Type | Individual |
| Full Name | THOMAS ROBERT KENNEDY |
| Credential | RPH |
| Practice Address |
230 N Wisconsin St De Pere WI 54115-2735 |
| Practice Telephone | 9203361758 |
| Mailing Telephone | 9203361758 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
12474 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726897 | Thomas Kennedy | Counselor | 3135 Euclid Ave Ste 103, Cleveland, OH 44115-2524 | 2015-07-27 |
| 1699892281 | Thomas Michael Kennedy | Dentist | 1261 Clifty Hollow Rd, Madison, IN 47250-3049 | 2007-03-26 |
| 1326145681 | Thomas Michael Kennedy | Counselor | 511 Fort St Rm 505, Port Huron, MI 48060-3936 | 2006-09-20 |
| 1891748554 | Thomas Joseph Kennedy | Obstetrics & Gynecology | 4428 Houma Blvd, Ste 410, Metairie, LA 70006 | 2006-05-17 |
| 1982196895 | Thomas Kennedy | Case Manager/Care Coordinator | 125 E Main St, Barnesville, OH 43713-1005 | 2018-06-06 |
| 1396273173 | Thomas Lynn Kennedy Jr. | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2017-05-24 |
| 1689042749 | Thomas Kennedy | Behavioral Analyst | 1836 Fremont St, Ashland, OR 97520-2537 | 2015-09-07 |
| 1184034175 | Thomas Kennedy | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2014-04-30 |
| 1518388990 | Thomas Kennedy | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2014-01-02 |
| 1215295381 | Thomas Michael Kennedy | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803 | 2012-04-26 |
| Street Address |
230 N WISCONSIN ST |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407808496 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2006-05-17 |
| 1457843161 | Nicholas Roovers | Optometrist | 230 N Wisconsin St, De Pere, WI 54115 | 2018-05-30 |
| 1184069023 | Ann M Milligan | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2013-05-06 |
| 1972948339 | Kenneth William Bond | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2013-04-30 |
| 1447694963 | Thomas Merrill Thomas | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2013-04-26 |
| 1609199546 | Anthony Peter Michalski | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2010-03-06 |
| 1285680637 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 230 N Wisconsin St, De Pere, WI 54115 | 2006-05-26 |
| 1093767931 | Amy Marie Peot | Optometrist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069023 | Ann M Milligan | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2013-05-06 |
| 1447694963 | Thomas Merrill Thomas | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| 1497187181 | Sarah J Wilczek | Pharmacist | 699 S Green Bay Rd, Neenah, WI 54956-3153 | 2013-08-05 |
| 1528311206 | Meaghan A Mcmurray | Pharmacist | 10932 N Port Washington Rd, Mequon, WI 53092-5031 | 2012-10-18 |
| 1417225731 | Lisa Marie Mlodzik | Pharmacist | 1316 30th Ct, Kenosha, WI 53144-3064 | 2011-12-01 |
| 1083891584 | Tricia Lyn Dissmore | Pharmacist | 806 Greenwood St, Holmen, WI 54636-8003 | 2008-01-28 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
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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.