Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KENNETH GENE SOUDER DPH
NPI 1508848235
Pharmacist in Elizabethton, TN

Active since November 17, 2005
402 BEMBERG RD, ELIZABETHTON, TN 37643(423) 543-3493(423) 534-5493 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Gene Souder Dph NPPES

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

MR. KENNETH GENE SOUDER DPH (NPI 1508848235) is an individual pharmacist in Elizabethton, Tennessee, licensed in Tennessee (3344) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1508848235
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH GENE SOUDERCredential: DPH
Location Address402 BEMBERG RDElizabethton, TN 37643-2938
Mailing Address1525 Robin Hood LnJohnson City, TN 37604-3702 · (423) 360-3679 · Fax (423) 283-4198
Fax(423) 534-5493
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1508848235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 3344
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.

402 BEMBERG RD, Elizabethton, TN 37643

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
402 BEMBERG RD
ELIZABETHTON, TN 37643
Pharmacist
402 BEMBERG RD
ELIZABETHTON, TN 37643

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 Souder's NPI number?

The NPI number for Kenneth Souder is 1508848235. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Kenneth Souder located?

Kenneth Souder practices at 402 Bemberg Rd, Elizabethton, TN 37643. The listed phone number is (423) 543-3493.

What is Kenneth Souder'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 Souder was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.