Dr. Kenneth Fairbanks Jr., PHARMD
Pharmacist in Worcester, Massachusetts
1073133088- Practice location
- 500 Grafton St, Worcester, MA 01604-4713
- Phone
- 508-798-8743
- Fax
- —
- Last updated
- April 21, 2020
Kenneth Fairbanks is a Pharmacist based in Worcester, MA. Kenneth Fairbanks practices in Worcester, MA and has the professional credentials of PHARMD. The NPI Number for Kenneth Fairbanks is 1073133088 and holds a License No. PH234794 (MA). The current practice location address for Kenneth Fairbanks is 500 Grafton St, Worcester, MA 01604-4713 and can be reached out via phone at 508-798-8743.
Provider Profile Details
- NPI Number
- 1073133088
- Provider Name
- Kenneth Fairbanks
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 Grafton St, Worcester, MA 01604-4713
- Phone Number
- 508-798-8743
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2020
- Last Update Date
- April 21, 2020
- Certification Date
- April 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Grafton St
Worcester, MA 01604-4713 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-4713
- Phone Number
- 508-798-8743
Provider Business Mailing Address Details
- Address
- 3 Davis RD
Auburn, MA 01501-3101 - City
- Auburn
- State
- MA
- Zip
- 01501-3101
License Information
- License Number
- PH234794
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Worcester, MA
View all Pharmacists in Worcester →Frequently Asked Questions
What is the NPI number of Dr. Kenneth Fairbanks Jr., PHARMD?
The NPI number of Dr. Kenneth Fairbanks Jr., PHARMD is 1073133088. It was assigned on April 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth Fairbanks Jr., PHARMD?
Dr. Kenneth Fairbanks Jr., PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH234794.
Where does Dr. Kenneth Fairbanks Jr., PHARMD practice?
The practice location is 500 Grafton St, Worcester, MA 01604-4713. The office can be reached at 508-798-8743 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073133088 directly on the NPPES registry website.