Kelsey Moody, PHARMD
Individual provider Active NPI Pharmacist · Bellaire, MI
NPI 1003528449 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1003528449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302041999 (MI)
- Practice address
- 211 S Division St
Bellaire, MI 49615-9550 - Phone
- (231) 533-5534
- Fax
- (231) 533-5725
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041999 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevos Family Markets LLC | Past |
Accepting new patients | |
| Prevos Family Markets LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302041999 | MI | Yes |
Addresses
Primary practice location
211 S Division St
Bellaire, MI 49615-9550
Mailing address
PO Box 918
Bellaire, MI 49615-0918
Phone (231) 533-5534
Other providers in Bellaire, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.