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MR. KENNETH MARSHALL OVERHOLT JR. RPH
NPI 1013122316
Pharmacist in Warren, OH

Active since May 11, 2007
4619 MAHONING AVE NW, WARREN, OH 44483(330) 847-8000(330) 847-7708 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Marshall Overholt Jr. Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH MARSHALL OVERHOLT JR. RPH (NPI 1013122316) is an individual pharmacist in Warren, Ohio, licensed in Ohio (03-2-13266) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1013122316
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH MARSHALL OVERHOLT JR.Credential: RPH
Location Address4619 MAHONING AVE NWWarren, OH 44483-1418
Mailing Address4619 Mahoning Ave NwWarren, OH 44483-1418 · (330) 847-8000 · Fax (330) 847-7708
Phone(330) 847-8000
Fax(330) 847-7708
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013122316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OH · 03-2-13266
Definition
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.
4619 MAHONING AVE NW, Warren, OH 44483
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Overholt's NPI number?

The NPI number for Kenneth Overholt is 1013122316. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Kenneth Overholt located?

Kenneth Overholt practices at 4619 Mahoning Ave NW, Warren, OH 44483. The listed phone number is (330) 847-8000.

What is Kenneth Overholt's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Overholt was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.