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Robert S Kennedy

Pharmacist β€’ Jbsa Ft Sam Houston, TX

Active NPI 1134492481 Individual Practitioner Male Practitioner
Practice location in NPPES

3551 Roger Brooke Dr # Drive
Jbsa Ft Sam Houston, TX 782344504

Call 4058334825 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr # Drive

Jbsa Ft Sam Houston, TX 782344504

Telephone 4058334825

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbsa Ft Sam Houston and Texas

7 active clinicians are listed under Pharmacist with a practice address in Jbsa Ft Sam Houston, TX (18,560 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OK 15185

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active June 23, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 23, 2017

Registered at 3551 ROGER BROOKE DR # DRIVE, JBSA FT SAM HOUSTON, TX 782344504 (Tel: (405) 833-4825)

πŸ“
Updated Business Mailing Address June 23, 2017

Registered at 3551 ROGER BROOKE DR # DRIVE-QD, JBSA FT SAM HOUSTON, TX 782344504 (Tel: (405) 833-4825)

πŸ‘€
Provider Name / Credentials Updated June 23, 2017

Recorded as ROBERT KENNEDY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2017

Pharmacist (license number reported to NPPES: OK 15185)

βœ…
NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 17, 2012

Registered at 1110 N STONEWALL AVE, OKLAHOMA CITY, OK 731171200 (Tel: 4058334825)

πŸ“
Business Mailing Address (Initial Record) February 17, 2012

Registered at 8502 S BROOKLINE PL, OKLAHOMA CITY, OK 731596473 (Tel: 4058334825)

πŸ‘€
Provider Name / Credentials (Initial Record) February 17, 2012

Recorded as ROBERT KENNEDY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 17, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134492481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2012
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

3551 Roger Brooke Dr # Drive-Qd

Jbsa Ft Sam Houston, TX 782344504

Phone: 4058334825

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.