IndividualActive
Kevin Kavanagh, PHARMD
NPI 1215559042 · Pharmacist · San Diego, CA
Kevin Kavanagh, PHARMD is a Pharmacist provider in San Diego, CA (NPI 1215559042).
Provider details
- NPI number
- 1215559042
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 81078 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4077 Fifth Ave
San Diego, CA 92103-2105
Phone: (619) 294-8111
Street-level locationGet directions
Mailing address
2520 Northside Dr Apt 315
San Diego, CA 92108-6751
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Frequently asked questions
- What is Kevin Kavanagh's NPI number?
- Kevin Kavanagh's National Provider Identifier (NPI) is 1215559042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Kavanagh's specialty?
- Kevin Kavanagh is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kevin Kavanagh located?
- Kevin Kavanagh's practice location on file with NPPES is 4077 Fifth Ave, San Diego, CA 92103-2105.
- What is Kevin Kavanagh's phone number?
- The practice phone number listed in the NPPES registry for Kevin Kavanagh is (619) 294-8111.
- Is Kevin Kavanagh's NPI active?
- Yes — Kevin Kavanagh's NPI (1215559042) is active in the NPPES registry as of the last update on 2020-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.