DR. JOHN P KENNEDY (NPI# 1669814307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669814307 |
| Entity Type | Individual |
| Full Name | DR. JOHN P KENNEDY |
| Credential | RPH, PHD |
| Practice Address |
709 Mall Blvd Savannah GA 31406-4805 |
| Practice Telephone | 9122018138 |
| Mailing Telephone | 9122018138 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH025690 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 7515 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH025690 | GA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7515 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
709 MALL BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831251339 | James William Fetterman Jr. | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2006-12-14 |
| 1417479098 | Grace Simpson | Pharmacist | 709 Mall Blvd, Savannah, GA 31406 | 2017-07-14 |
| 1629517669 | Kristin Neely | Nurse Practitioner | 709 Mall Blvd, Savannah, GA 31406-4805 | 2017-02-22 |
| 1588945190 | Keri C Anderson | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2011-09-09 |
| 1457561714 | Curtis Eldridge Jones II | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2007-05-23 |
| 1124238399 | Tara Thurmon | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2007-05-23 |
| 1215147186 | Melissa Caulder Jones | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2007-05-22 |
| 1316156474 | Kimberly L Tackett | Pharmacist | 709 Mall Blvd, Department of Pharmacy Practice, Savannah, GA 31406-4805 | 2007-05-22 |
| 1356408652 | Andrea Lawson Mckeever | Pharmacist | 709 Mall Blvd, South University School of Pharmacy, Savannah, GA 31406-4805 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1720687775 | David Logan Beasley | Pharmacist | 322 Mall Blvd, Savannah, GA 31406-4724 | 2020-10-21 |
| 1902404734 | Stacey Wendling | Pharmacist | 7 Diamond Cswy, Savannah, GA 31406-7416 | 2020-10-14 |
| 1205469590 | Shannon Thomas | Pharmacist | 495 Johnny Mercer Blvd, Savannah, GA 31410-2123 | 2020-02-15 |
| 1588295927 | Jimmy Lee Williams | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4758 | 2020-02-03 |
| 1952932790 | Whitney Reed | Pharmacist | 311 E Gwinnett St, Savannah, GA 31401-5808 | 2020-01-30 |
| 1376174110 | Kelsey Adams | Pharmacist | 311 E Gwinnett St, Savannah, GA 31401-5808 | 2020-01-30 |
| 1255962080 | Nguyen T Nguyen | Pharmacist | 1900 E Victory Dr, Savannah, GA 31404-3713 | 2020-01-30 |
| 1811527666 | Savannah Epperley | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4758 | 2020-01-21 |
| 1790315810 | Christopher Alan Martin | Pharmacist | 5720 Ogeechee Rd, Savannah, GA 31405-9503 | 2020-01-16 |
| Find all providers in SAVANNAH | ||||
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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.