Kellie Marie Vile, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038244 Issued in MI

Practice address

1390 N Leroy Street
Fenton, MI 48430-5310

Phone

(810) 629-6074

Fax

(810) 629-6125

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J&B Pharmacy Services Inc.

  • Mail Order Pharmacy
  • Wixom, MI
  • NPI 1174111546
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1023612603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484305310",
            "telephone_number": "810-629-6074",
            "fax_number": "810-629-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 N LEROY STREET",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484305310",
            "telephone_number": "810-629-6074",
            "fax_number": "810-629-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILE",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kellie.vile@spartannash.com",
            "affiliation": "N",
            "address_1": "1390 N LeRoy St",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484305310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheri Marie Vanlake
• John Paul Varani, PH.D.
• Diego Velasquez-Plata, DDS, MSD
• VG's Pharmacy Inc (VG's Pharmacy #1)
• VG's Pharmacy, Inc (VG's Pharmacy #15)
• Jacqui Lorraine Wade, RN., BSN
• Andrea Wagner, NP
• David Alan Wagner, D.D.S.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2693)
• Wal-Mart Stores East, LP (Vision Center 30-2693)

• Pharmacist in Fenton, MI
• Providers in Fenton, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.