Active NPI
Kendra Rebecca Duthler, PHARMD
- Pharmacist
- Battle Creek, MI
National Provider Identifier
1093464935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414111
- Practice address
- 6020 B Dr N
Battle Creek, MI 49014-8367 - Phone
- (269) 979-4727
- NPI assigned
- Mar 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302414111 | MI | Primary |
Addresses
Primary practice location
6020 B Dr N
Battle Creek, MI 49014-8367
Mailing address
4735 Ridgeline Dr NE
Grand Rapids, MI 49525-1265
Phone (616) 485-8355
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414111 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1093464935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 RIDGELINE DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251265",
"telephone_number": "616-485-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 B DR N",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148367",
"telephone_number": "269-979-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTHLER",
"first_name": "KENDRA",
"middle_name": "REBECCA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.