KENNETH FANNING
NPI 1982273827
Pharmacist in Saint Marys, GA

Active since June 24, 2021
555 CHARLIE SMITH SR HWY, SAINT MARYS, GA 31558(904) 616-9096 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Kenneth Fanning NPPES

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

KENNETH FANNING (NPI 1982273827) is an individual pharmacist in Saint Marys, Georgia, licensed in Georgia (PHWH005053) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1982273827
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKENNETH FANNING
Location Address555 CHARLIE SMITH SR HWYSaint Marys, GA 31558-3030
Mailing Address1536 N Market StJacksonville, FL 32206-4540 · (904) 616-9096
Sole ProprietorYes
Enumeration DateJune 24, 2021
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
NPI 1982273827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · PHWH005053
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.
555 CHARLIE SMITH SR HWY, Saint Marys, GA 31558

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fanning's NPI number?

The NPI number for Kenneth Fanning is 1982273827. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Kenneth Fanning located?

Kenneth Fanning practices at 555 Charlie Smith Sr Hwy, Saint Marys, GA 31558. The listed phone number is (904) 616-9096.

What is Kenneth Fanning'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 Fanning was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.