IndividualActive
Kevan King, PHARMD
NPI 1679366652 · Emergency Medicine Pharmacist · St Augustine, FL
Provider details
- NPI number
- 1679366652
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- PS64365 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
400 Health Park Blvd
St Augustine, FL 32086-5784
Phone: (904) 819-5155
Fax: (904) 819-4911
Approximate (ZIP-level) locationGet directions
Mailing address
124 Savanna Preserve Ct
St Augustine, FL 32095-8927
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.