Active NPI
Kathryn Marie Ely, PHARMD
- Pharmacist
- Battle Creek, MI
National Provider Identifier
1124308671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033499
- Practice address
- 11177 Michigan Ave E
Battle Creek, MI 49014-8904 - Phone
- (269) 704-8593
- Fax
- (269) 729-5151
- NPI assigned
- Aug 27, 2011
- 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 | 5302033499 | MI | Primary |
Addresses
Primary practice location
11177 Michigan Ave E
Battle Creek, MI 49014-8904
Mailing address
11177 Michigan Ave E
Battle Creek, MI 49014-8904
Phone (269) 704-8593
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 |
|---|---|---|---|
| 5302033499 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nottawaseppi Huron Band of the Potawatomi | Current | Accepting new patients | |
| Nottawaseppi Huron Band of the Potawatomi Pharmacy | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
11177 Michigan Ave E
Battle Creek, MI 49014
Phone (269) 660-5782
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72895
Organizations & group practices 4
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.
-
- Federal Public Health Clinic/Center
- Wyoming, MI
- NPI 1770500548
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Battle Creek, MI
- NPI 1427879576
-
- Pharmacy
- Grand Haven, MI
- NPI 1194046722
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1124308671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11177 MICHIGAN AVE E",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148904",
"telephone_number": "269-704-8593",
"fax_number": "269-729-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11177 MICHIGAN AVE E",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148904",
"telephone_number": "269-704-8593",
"fax_number": "269-729-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2024-10-15",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033499",
"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 Oct 15, 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.