NPIMap

Organization Active NPI

Kingsley Pharmacy and Compounding Center

  • Long Term Care Pharmacy
  • Kingsley, MI
National Provider Identifier
1073151031
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KINGSLEY PHARMACY AND COMPOUNDING CENTER
Practice address
114 S Brownson Ave
Kingsley, MI 49649-5103
Phone
(231) 263-7701
Fax
(231) 263-7925
NPI assigned
Dec 20, 2019
Organization subpart
Yes
Parent organization
KINGSLEY PHARMACY AND COMPOUNDING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Mr. Brian William Reuther, RPH
Title
President/RPH
Phone
(231) 263-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

114 S Brownson Ave
Kingsley, MI 49649-5103

Mailing address

PO Box 247
Kingsley, MI 49649-0247

Other names 1

  • KINGSLEY PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Part of
Kingsley Pharmacy and Compounding Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1073151031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496490247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S BROWNSON AVE",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496495103",
            "telephone_number": "231-263-7701",
            "fax_number": "231-263-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY PHARMACY AND COMPOUNDING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGSLEY PHARMACY AND COMPOUNDING CENTER",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "REUTHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/RPH",
        "authorized_official_telephone_number": "231-263-7701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSLEY PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.