Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598376675 Individual Practitioner Male Practitioner

Nickalaus Craig Kennedy

Pharmacist • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Nickalaus Kennedy is a registered healthcare professional specializing in Pharmacist in Springfield, MO. Practice services are available at 1349 E REPUBLIC RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1349 E Republic Rd

Springfield, MO 658047204

Telephone 4178879451
Fax 4178770674
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1417964438

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
244 Specialists

Practicing in Springfield, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2019030619

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1073897526

Registered Pharmacist

NPI 1134560501

Doctor of Pharmacy (Pharm.D.)

Lauren Mccann

Pharmacist

NPI 1164034724
Nathan Friend

Pharmacist

NPI 1275147050
NPI 1538418199
NPI 1851785943

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2020

Registered at 1349 E REPUBLIC RD, SPRINGFIELD, MO 658047204 (Tel: 4178879451)

📍
Updated Business Mailing Address August 12, 2020

Registered at 1349 E REPUBLIC RD, SPRINGFIELD, MO 658047204 (Tel: 4178879451)

👤
Provider Name / Credentials Updated August 12, 2020

Recorded as NICKALAUS KENNEDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Pharmacist (License #2019030619 in MO)

🟢
Initial NPI Registration & Enumeration August 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598376675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: August 12, 2020
Sole Proprietor: No

Mailing Address

1349 E Republic Rd

Springfield, MO 658047204

Phone: 4178879451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.