Individual provider

Kenneth Fuqua, RPH;CPH

Ambulatory Care Pharmacist Geriatric Pharmacist

Kenneth Fuqua, RPH;CPH is an Ambulatory Care Pharmacist in Lakeland, FL, registered under NPI 1174061048. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1122 OLD POLK CITY RD, Lakeland, FL 33809. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1122 OLD POLK CITY RD, Lakeland, FL 33809 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PS11329 FL Ambulatory Care Pharmacist primary
PU00102 FL Geriatric Pharmacist

This provider holds licence PS11329 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Ambulatory Care covers

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. NUCC Health Care Provider Taxonomy, code 1835P2201X
Pharmacy Service Providers Pharmacist Ambulatory Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1835P2201X Ambulatory Care Pharmacist Ambulatory Care PS11329 FL primary
1835G0303X Geriatric Pharmacist Geriatric PU00102 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174061048 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 10, 2017
Last updatedFeb 10, 2017
StatusActive
Sole proprietorYes
CredentialRPH;CPH
Practice address 1122 OLD POLK CITY RD
Lakeland, FL 33809
(863) 858-2828
This record was last updated on Feb 10, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1174061048 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 0 6 1 0 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 0 6 2 0 8

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174061048?
NPI 1174061048 is the National Provider Identifier assigned to Kenneth Fuqua, RPH;CPH in Lakeland, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Ambulatory Care cover?
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.
How do I contact Kenneth Fuqua, RPH;CPH?
The phone number on file with NPPES is (863) 858-2828, last updated Feb 10, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1174061048 a valid number?
Yes. 1174061048 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.