KENNETH WEBSTER FUQUA SR. RPH;CPH
NPI 1174061048
Pharmacist - Ambulatory Care in Lakeland, FL

Q: What is Kenneth Fuqua's NPI number?

The NPI number for Kenneth Fuqua is 1174061048. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Q: What is Kenneth Fuqua's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Fuqua was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2017

1122 OLD POLK CITY RD, LAKELAND, FL 33809(863) 858-2828 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Webster Fuqua Sr. Rph;cph NPPES

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

KENNETH WEBSTER FUQUA SR. RPH;CPH (NPI 1174061048) is an individual ambulatory care provider in Lakeland, Florida, licensed in Florida (PS11329) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1174061048

Entity TypeIndividualMale

Primary Taxonomy1835P2201X

Provider Legal NameKENNETH WEBSTER FUQUA SR.Credential: RPH;CPH

Location Address1122 OLD POLK CITY RDLakeland, FL 33809-6622

Mailing Address1122 Old Polk City RdLakeland, FL 33809-6622 · (863) 858-2828

Phone(863) 858-2828

Sole ProprietorYes

Enumeration DateFebruary 10, 2017

✔ NPI 1174061048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers

Taxonomy Code1835P2201X

License✔ Licensed in FL · PS11329

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Also ListedPharmacist · GeriatricTaxonomy 1835G0303X · License PU00102 (FL)

1122 OLD POLK CITY RD, Lakeland, FL 33809

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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 Fuqua's NPI number?

The NPI number for Kenneth Fuqua is 1174061048. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Kenneth Fuqua located?

Kenneth Fuqua practices at 1122 Old Polk City Rd, Lakeland, FL 33809. The listed phone number is (863) 858-2828.

What is Kenneth Fuqua's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Kenneth Fuqua was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.