MR. KENNETH MARSHALL JR. OVERHOLT (RPH) – Pharmacist, NPI 1013122316
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2013-06-20. Reason: Felony conviction relating to controlled substance (mandatory; min. 5 years).
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. KENNETH MARSHALL JR. OVERHOLT (RPH)
Mahoning Avenue Northwest, Mahoning Avenue Historic District, Warren, Trumbull County, Ohio, 44483, United States
WARREN, OH 444831418
Phone: (330) 847-8000
Fax: (330) 847-7708
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44483)
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