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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | P6652 | ID | Pharmacy Service Providers |
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 |
Street Address |
450 E MAIN ST |
City | REXBURG |
State | ID |
Zip Code | 83440-2048 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.