Active NPIIndividual provider

Dr. Edna M Kennedy

Pharmacist in Maplewood, New Jersey

NPI Number1992316574
Practice location
1633 Springfield Ave, Maplewood, NJ 07040-2922
Fax
973-761-7036
Last updated
August 16, 2020

Edna Moraa Kennedy is a Pharmacist based in Maplewood, NJ. Edna Moraa Kennedy practices in Maplewood, NJ. The NPI Number for Edna Moraa Kennedy is 1992316574 and holds a License No. 28RJ08036 (NJ). The current practice location address for Edna Moraa Kennedy is 1633 Springfield Ave, Maplewood, NJ 07040-2922 and can be reached out via phone at 973-761-7391 and via fax at 973-761-7036.

Provider Profile Details

NPI Number
1992316574
Provider Name
Edna Moraa Kennedy
Provider Entity Type
Individual
Gender
Female
Address
1633 Springfield Ave, Maplewood, NJ 07040-2922
Phone Number
973-761-7391
Fax Number
973-761-7036
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2020
Last Update Date
August 16, 2020
Certification Date
August 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1633 Springfield Ave
Maplewood, NJ 07040-2922
Zip
07040-2922
Phone Number
973-761-7391
Fax Number
973-761-7036
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
1633 Springfield Ave
Maplewood, NJ 07040-2922
City
Maplewood
State
NJ
Zip
07040-2922
Phone Number
973-761-7391
Fax Number
973-761-7036

License Information

License Number (1)
28RJ08036
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
28RI03988000
License State (2)
NJ
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edna M Kennedy?

The NPI number of Dr. Edna M Kennedy is 1992316574. It was assigned on August 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Edna M Kennedy?

Dr. Edna M Kennedy is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RJ08036.

Where does Dr. Edna M Kennedy practice?

The practice location is 1633 Springfield Ave, Maplewood, NJ 07040-2922. The office can be reached at 973-761-7391 (phone) or 973-761-7036 (fax).

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 1992316574 directly on the NPPES registry website.

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