KENNEDY LLC (NPI# 1174869622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174869622 |
| Entity Type | Organization |
| Organization Name | KENNEDY LLC |
| Other Organization Name | SHOALS PHARMACY |
| Practice Address |
859 E Hobson St Tuscumbia AL 35674-1428 |
| Practice Telephone | 2563899800 |
| Practice Fax Number | 2563891594 |
| Mailing Telephone | 2563899800 |
| Mailing Fax Number | 2563891594 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | LEE KENNEDY (PHARMACIST/OWNER) |
| Authorized Official Telephone | 2563899800 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
112554 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 145720 | 05 | |
| PK | 2138564 | 01 |
| Other Name | Type Code |
|---|---|
| Shoals Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962875252 | Kennedy LLC | Pharmacy | 340 Cox Blvd, Sheffield, AL 35660-4020 | 2015-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kennedy LLC | 2913 Wagonwheel Ct., Fort Collins, CO 80526 |
| Street Address |
859 E HOBSON ST |
| City | TUSCUMBIA |
| State | AL |
| Zip Code | 35674-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1417115288 | Thomas Armstead Branscome | Dentist | 208 East Fifth Street, Tuscumbia, AL 35674 | 2008-05-29 |
| 1285712075 | Ent & Allergy Institute of North Al | Otolaryngology | 1106 North Cave Street, Tuscumbia, AL 35674 | 2006-11-01 |
| 1497840912 | Penny Oliver Townsend | Hearing Instrument Specialist | 116 East 5th Street, Tuscumbia, AL 35674 | 2006-10-03 |
| 1962470914 | David Bruce Laughlin | Family Medicine | 1404 Avalon Ave, Suite B-00, Tuscumbia, AL 35674 | 2006-03-08 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| 1912256348 | Katie Elizabeth Fulmer | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2012-08-30 |
| 1205148939 | Samanger Nicole Purcell | Specialist | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2010-07-10 |
| Find all providers in zip 35674 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 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.