DR. DAVID A KENNEDY


Address: 450 E Main St, Rexburg, ID 83440-2048
Phone: 2083596487

DR. DAVID A KENNEDY (NPI# 1609277482) 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) 1609277482
Entity Type Individual
Full Name DR. DAVID A KENNEDY
Credential PHARMD
Practice Address 450 E Main St
Rexburg
ID 83440-2048
Practice Telephone 2083596487
Practice Fax Number 2083596467
Mailing Telephone 2083596487
Mailing Fax Number 2083596467
Enumeration Date 2014-09-11
Last Update Date 2014-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist P6652 ID Pharmacy Service Providers

Other Providers DAVID KENNEDY

NPI Name Taxonomy Address Enumeration
1467935361 David Paul Kennedy Social Worker 22 Manion Rd, Hyde Park, MA 02136-3834 2018-09-07
1073021481 David Lloyd Kennedy Jr. Specialist/Technologist 330 Round Hill Rd, Salem, CT 06420-3832 2018-01-19
1518258755 David Patrick Kennedy Ophthalmology 4224 Houma Blvd Ste 100, Metairie, LA 70006-2934 2011-04-21
1770722928 David E Kennedy Occupational Therapist 17800 Caddy Dr, Derwood, MD 20855-1004 2009-02-11
1619157518 David Richard Kennedy Pharmacist 8530 Transit Rd, Williamsville, NY 14221-2836 2007-11-07
1265580351 David Mark Kennedy Dentist 69160 Ramon Road Suite #100, Cathedral City, CA 92234 2007-01-08
1730103821 David Kennedy Physical Therapist 1220 Camino Del Llano, Belen, NM 87002-2727 2006-07-26
1215929229 David R Kennedy Internal Medicine 7450 Kessler St, Ste 300, Merriam, KS 66204 2005-08-16
1376153122 David Peter Kennedy Physical Therapy Assistant 3110 Scott Cir, Omaha, NE 68112-2604 2020-08-06
1093214892 David Kennedy Social Worker 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-0651 2018-02-07

Office Location

Street Address 450 E MAIN ST
City REXBURG
State ID
Zip Code 83440-2048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639111206 Madison Physician Services Emergency Medicine 450 E Main St, Rexburg, ID 83440-2048 2006-06-11
1396352142 Karissa Thueson Nurse Practitioner 450 E Main St, Rexburg, ID 83440-2048 2020-09-25
1376192674 David Howard Anderson Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2019-09-09
1124676663 Susan B Clark Dietitian, Registered 450 E Main St, Rexburg, ID 83440-2048 2019-08-28
1790278760 Allen Terry Miller Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-13
1831682194 Dorsie Thomas Sullenger Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-12
1184122756 Steven Craig Pierce Physician Assistant 450 E Main St, Rexburg, ID 83440-2048 2018-01-29
1215471065 Troy Hanson Nurse Practitioner 450 E Main St, Rexburg, ID 83440-2048 2016-12-13
1346692605 University of Utah Pediatric Services Pediatrics 450 E Main St, Rexburg, ID 83440-2048 2016-07-11
1871941724 Justin Shippen Family Medicine 450 E Main St, Rexburg, ID 83440-2048 2016-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235768490 Henry's Fork Surgery Center Pllc Clinic/Center 23 Sawtelle Ave, Rexburg, ID 83440 2020-04-08
1952956906 Shane Ellis Withers Pharmacist 164 E. Main, Rexburg, ID 83440 2019-08-06
1316392285 Emma Anderson Speech-Language Pathologist 36 Professional Plaza Suite 110, Rexburg, ID 83440 2016-04-28
1851755524 Sandra Frickey Speech-Language Pathologist 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 2016-04-08
1275997215 Kerry Denney Counselor 333 Walker Drive, Rexburg, ID 83440 2016-04-06
1467837583 Wal-mart Stores, Inc. Technician/Technologist 303 E Moody Rd, Rexburg, ID 83440 2015-07-30
1649692609 Tanabell Health Services, Inc. Skilled Nursing Facility 410 W 1st N, Rexburg, ID 83440 2014-01-10
1043652571 Creed Simon Webster Counselor 30 S 2nd W, Rexburg, ID 83440 2013-07-25
1033461660 James Cannon Allen Dds PC Dentist 106 E 1st North, Rexburg, ID 83440 2012-10-05
1417217316 Shelby Dee Woolstenhulme Speech-Language Pathologist 450 E. Main Street, Rexburg, ID 83440 2012-05-24
Find all providers in zip 83440

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
1952956906 Shane Ellis Withers Pharmacist 164 E. Main, Rexburg, ID 83440 2019-08-06
1760923635 Shawn Andreasen Pharmacist Byu Idaho Student Health Center 179 Ctr, Rexburg, ID 83460-0001 2017-03-13
1356891808 Melanie M Johnson Pharmacist 621 Eaglewood Dr, Rexburg, ID 83440-5253 2016-10-08
1740566876 Brandi E Slachter Pharmacist 164 E Main Street, Rexburg, ID 83440 2011-11-03
1639455371 Emily L Stirling Pharmacist 262 E 2nd N, Rexburg, ID 83440-1626 2011-10-26
1245456359 Scott J Webster Pharmacist 530 N 2nd E, Rexburg, ID 83440-3566 2007-04-17
1376192674 David Howard Anderson Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2019-09-09
1790278760 Allen Terry Miller Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-13
1831682194 Dorsie Thomas Sullenger Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-12
1982055620 Jeremy Davis Pharmacist 164 E Main St, Rexburg, ID 83440-1912 2016-06-23
Find all providers in REXBURG

Competitor

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City REXBURG
Zip Code 83440

Improve Information

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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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