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KEVIN KAVANAGH PHARMD
NPI 1215559042
Pharmacist in San Diego, CA

Active since May 14, 2020
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Kavanagh Pharmd NPPES

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

KEVIN KAVANAGH PHARMD (NPI 1215559042) is an individual pharmacist in San Diego, California, licensed in California (81078) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1215559042
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEVIN KAVANAGHCredential: PHARMD
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address2520 Northside Dr Apt 315San Diego, CA 92108-6751 · (720) 938-0176
Phone(619) 294-8111
Sole ProprietorYes
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1215559042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 81078
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.
4077 FIFTH AVE, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN BUTLER M.D.
Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3935
DR. SCOT NOLAN DNP, RN, CNS
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3595
DR. ARASH ABIRI MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (185) 883-2247
BRIANNA ELISE LIPSEY RN, BSN
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
PAUL JIN HAN M.D.
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
San Diego County (619) 260-7022
CHRISTIAN NGUYEN KELLY
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
LINA MOHAMMED DO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
AMY MARIE SANTOS CCRN, MSN, ACNP
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103
San Diego County (619) 260-7285

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 Kevin Kavanagh's NPI number?

The NPI number for Kevin Kavanagh is 1215559042. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Kevin Kavanagh located?

Kevin Kavanagh practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 294-8111.

What is Kevin Kavanagh'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 Kevin Kavanagh was last updated on May 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.