WILLIAM C KENNEDY (NPI# 1861419574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861419574 |
| Entity Type | Organization |
| Organization Name | WILLIAM C KENNEDY |
| Other Organization Name | THE MEDICINE SHOPPE |
| Practice Address |
56 Mauch Chunk St Tamaqua PA 18252-1405 |
| Practice Telephone | 5706686366 |
| Practice Fax Number | 5706689019 |
| Mailing Telephone | 5706686366 |
| Mailing Fax Number | 5706689019 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM CHARLES KENNEDY (OWNER) |
| Authorized Official Telephone | 5706686366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP410693L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LIC NUMBER | PP410693L | 01 |
| PA | 1007450860002 | 05 | |
| PA | DEA NUMBER | AT7802728 | 01 |
| NCPDP | 3937046 | 01 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe | Doing Business As Name - Organization |
| Street Address |
56 MAUCH CHUNK ST |
| City | TAMAQUA |
| State | PA |
| Zip Code | 18252-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841351046 | Schuylkill Cardiology Consultants, P.C. | Internal Medicine | 17 West Broad Street, Tamaqua, PA 18252 | 2006-12-12 |
| 1982700282 | Jessica Herness | Physical Therapist | 219 Claremont Avenue, Tamaqua, PA 18252 | 2006-09-15 |
| 1245272392 | Bio-medical Applications of Pennsylvania, Inc | Clinic/Center | Tamaqua Plaza Shopping Ctr., Rte. 209 S., Fmc of Tamaqua Ckd Services, Tamaqua, PA 18252 | 2006-06-12 |
| 1891777900 | Frank J Bobick | Ophthalmology | 37 Medical Crossing Rd, Tamaqua, PA 18252 | 2005-11-15 |
| 1811979958 | Angela G Houser | Ophthalmology | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2005-11-15 |
| 1770028136 | St. Luke's Physician Group Inc. | Otolaryngology | 120 Pine St, Suite B, Tamaqua, PA 18252 | 2016-12-21 |
| 1285883553 | Carbon - Schuylkill Community Hospital Inc | Clinic/Center | 34 S Railroad St, Tamaqua, PA 18252 | 2008-09-11 |
| 1629109053 | Wal-mart Stores East, L.p. | Technician/Technologist | 35 Plaza Dr, Tamaqua, PA 18252 | 2007-03-08 |
| 1649366857 | Charles E Fey | Optometrist | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2006-10-05 |
| 1366536047 | Joseph S Pancher | Optometrist | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2006-10-03 |
| Find all providers in zip 18252 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841793569 | Megan Rubino | Pharmacy | 220 Claremont Ave Ste 2, Tamaqua, PA 18252-4460 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.