Individual provider Active NPI

Kaitlyn Cool, PHARMD

  • Pharmacist
  • White Cloud, MI
National Provider Identifier
1073320024
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302416677 Issued in MI
Practice address
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone
(231) 689-6677
NPI assigned
Dec 13, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302416677 MI Primary
Pharmacist 183500000X 5315252671 MI

Addresses

Primary practice location

1035 E Wilcox Ave
White Cloud, MI 49349-8794

Mailing address

1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone (231) 689-6677

Other practice location 1

11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-1567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302416677MIMDPharmacist
5315252671MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1073320024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498794",
            "telephone_number": "231-689-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498794",
            "telephone_number": "231-689-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493277900",
            "country_code": "US",
            "telephone_number": "231-834-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOL",
        "first_name": "KAITLYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416677",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315252671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.