Mary Kienitz
Individual provider Active NPI Ambulatory Care Pharmacist · Remus, MI
NPI 1063373348 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1063373348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 5302027407 (MI)
- Practice address
- 144 W Wheatland Ave
Remus, MI 49340-5115 - Phone
- (989) 967-3360
- Fax
- (989) 967-3374
- NPI assigned
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027407 | MI | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Hospital Pharmacy Management, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 5302027407 | MI | Yes |
Addresses
Primary practice location
144 W Wheatland Ave
Remus, MI 49340-5115
Mailing address
144 W Wheatland Ave
Remus, MI 49340-5115
Phone (989) 967-3360
Other providers in Remus, MI
- Clinical Hospital Pharmacy Management, P.C.
- Shelby Kay Fox
- Jeffrey F Wilson OD PC
- Lost Lake Healing
- Margaret'S Meadows, LLC
- Medics P.C.
- Summer Lynne Sellers
- Sisters of Sobriety
All providers in Remus, MI · Ambulatory Care Pharmacist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. 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.