MARK KENNEDY (NPI# 1588156368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588156368 |
| Entity Type | Individual |
| Full Name | MARK KENNEDY |
| Credential | PHARM D |
| Practice Address |
790 Veterans Way Pensacola FL 32507-1000 |
| Mailing Address |
1261 Duncan Dr The Villages FL 32162-3720 |
| Practice Telephone | 8509122115 |
| Mailing Telephone | 6102122126 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS56360 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727395 | Mark Thomas Kennedy | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
| 1245790948 | Mark Allen Kennedy | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2019-03-20 |
| 1699189845 | Mark Kennedy | Specialist/Technologist, Other | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
| 1457686636 | Mark Kennedy | Social Worker | 9445 Farnham St Ste 100, San Diego, CA 92123-1308 | 2009-10-06 |
| 1629257357 | Mark H Kennedy | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2007-10-30 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1811028673 | Mark S Kennedy | Nurse Practitioner | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-03-07 |
| 1891864328 | Mark Kennedy | Counselor | 921 E Compton Blvd Fl 1, Compton, CA 90221-3303 | 2006-11-07 |
| 1811948599 | Mark E Kennedy | Ophthalmology | 345 Clyde Morris Blvd, Suite 330, Ormond Beach, FL 32174-3111 | 2006-05-15 |
| Street Address |
790 VETERANS WAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612436 | Marie S Nelson | Podiatrist | 790 Veterans Way, Pensacola, FL 32507 | 2005-07-11 |
| 1730705344 | Heather Jean Stabley | Dietitian, Registered | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-06-19 |
| 1336776889 | Margaret E Effinger | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-03-25 |
| 1528698990 | Morgan Amanda Tolley | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-01-24 |
| 1982259255 | Frances Lee Hoffman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-08-05 |
| 1548826514 | Dale Willie Mcghee Jr. | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1477119436 | Meghan Lee | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1104482173 | Julia Marissa Thurman | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1093279531 | Joanna Alexandra Gabison | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-01-29 |
| 1760963524 | Hector Zayas | Counselor | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013631 | Stephanie Bell Stanton | Pharmacist | 4300 Bayou Blvd Ste 17d, Pensacola, FL 32503-2671 | 2020-08-14 |
| 1164030722 | Minh Cai Ryan | Pharmacist | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-07-20 |
| 1407486483 | Matthew Valdez | Pharmacist | 8383 N Davis Hwy, Pensacola, FL 32514-6039 | 2020-01-18 |
| 1982259255 | Frances Lee Hoffman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-08-05 |
| 1982182762 | Kayla Mcintyre | Pharmacist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2018-08-02 |
| 1245649185 | Erin Ohman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2014-08-05 |
| 1689083602 | Richard Adam Burnett | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2014-08-04 |
| 1437586591 | Thomas D Stewart Jr. | Pharmacist | 2100 W Cervantes St, Pensacola, FL 32505-7145 | 2013-10-03 |
| 1003054800 | Austin Paul Conner Sr. | Pharmacist | 6000 W Hwy 98, Pensacola, FL 32512 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
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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.