BEVERLY A KENNEDY (NPI# 1285800862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285800862 |
| Entity Type | Individual |
| Full Name | BEVERLY A KENNEDY |
| Credential | RPH |
| Practice Address |
100 S Third St Conneaut Lake PA 16316 |
| Mailing Address |
100 South 3rd St Conneaut Lake PA 16316 |
| Practice Telephone | 8143822380 |
| Practice Fax Number | 8143822818 |
| Mailing Telephone | 8143822380 |
| Mailing Fax Number | 8143822818 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP042593L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013329473 | Beverly Kennedy | Registered Nurse | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | 2014-05-20 |
| 1538129762 | Beverly M Kennedy | Nurse Practitioner | 8 Prospect St, Nashua, NH 03060-3925 | 2006-03-23 |
| Street Address |
100 S THIRD ST |
| City | CONNEAUT LAKE |
| State | PA |
| Zip Code | 16316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268858 | Kimberly Nicole Litwin | Pharmacist | 100 South 3rd Street, Conneaut Lake, PA 16316 | 2019-07-30 |
| 1063596708 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 100 South Third Street, Conneaut Lake, PA 16316 | 2006-10-25 |
| 1295829273 | Chrissy M Bosley | Counselor | 11147 State Hwy 18 Suite #5, Suite #5, Conneaut Lake, PA 16316 | 2006-10-03 |
| 1992713903 | Lakeside Chiropractic PC | Chiropractor | 200 N Third St, Conneaut Lake, PA 16316 | 2006-08-04 |
| 1447220751 | Conneaut Lake Area Ambulance Service | Ambulance | 290 S 4th St Extension, Conneaut Lake, PA 16316 | 2006-01-26 |
| 1275516619 | Paul Thomas Foulk | Dentist | 155 N 3rd St, Conneaut Lake, PA 16316 | 2005-11-21 |
| 1558661413 | Denise Lee Bean | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2010-10-26 |
| 1194922310 | Leighanne Young | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2007-06-29 |
| 1003929308 | Timothy B Vyrostek | Chiropractor | 200 N Third St, Lakeside Chiropractic PC, Conneaut Lake, PA 16316 | 2006-08-17 |
| 1225321649 | Dale R Weaver | Pharmacist | 100 South Third St., Conneaut Lake, PA 16316-1108 | 2011-05-18 |
| Find all providers in zip 16316 | ||||
| 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 |
|---|---|---|---|---|
| 1083268858 | Kimberly Nicole Litwin | Pharmacist | 100 South 3rd Street, Conneaut Lake, PA 16316 | 2019-07-30 |
| 1225321649 | Dale R Weaver | Pharmacist | 100 South Third St., Conneaut Lake, PA 16316-1108 | 2011-05-18 |
| 1194922310 | Leighanne Young | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | CONNEAUT LAKE |
| Zip Code | 16316 |
Please comment or provide details below to improve the information on BEVERLY A KENNEDY.
| 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.