Active NPI
Kevin Hargis
- Pharmacist
- Holland, MI
National Provider Identifier
1104372861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041185
- Practice address
- 973 Washington Ave
Holland, MI 49423-5228 - Phone
- (616) 392-5161
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- 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 | 5302041185 | MI | Primary |
Addresses
Primary practice location
973 Washington Ave
Holland, MI 49423-5228
Mailing address
10126 Felch St.
Zeeland, MI 49464
Phone (269) 830-9421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041185 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1104372861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10126 FELCH ST.",
"city": "ZEELAND",
"state": "MI",
"postal_code": "49464",
"telephone_number": "269-830-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 WASHINGTON AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494235228",
"telephone_number": "616-392-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGIS",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.