Kelly Bitter

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Sylvania, OH

NPI 1114452976 · NPPES record last updated Apr 28, 2017

Key facts

NPI
1114452976
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
03124629 (OH)
Practice address
7545 Sylvania Ave
Sylvania, OH 43560-9735
Phone
(419) 841-6468
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03124629OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Co Past Accepting new patients
The Kroger Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03124629 OH Yes

Addresses

Primary practice location

7545 Sylvania Ave
Sylvania, OH 43560-9735

Mailing address

7545 Sylvania Ave
Sylvania, OH 43560-9735
Phone (419) 841-6468

Other providers in Sylvania, OH

All providers in Sylvania, OH · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.