Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Webster Fuqua Sr., RPH, CPH

Individual provider Geriatric Pharmacist · NPI 1174061048

Kenneth Webster Fuqua Sr., RPH, CPH is a Geriatric Pharmacist in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1122 Old Polk City Rd
Lakeland, FL 33809-6622
Phone: (863) 858-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence PS11329 (FL)
Geriatric Pharmacist Taxonomy 1835G0303X · Licence PU00102 (FL)

Record details

NPI number1174061048
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH , CPH
Sole proprietorYes
NPI enumeratedFebruary 10, 2017
Last updated in NPPESFebruary 10, 2017

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