Kayla Hunter
Individual provider Active NPI Pharmacist · Owosso, MI
NPI 1124634654 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1124634654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302412927 (MI)
- Practice address
- 721 N Shiawassee St
Owosso, MI 48867-1632 - Phone
- (989) 729-4673
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412927 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412927 | MI | Yes |
Addresses
Primary practice location
721 N Shiawassee St
Owosso, MI 48867-1632
Mailing address
6155 Dixie Hwy
Bridgeport, MI 48722-9618
Phone (989) 777-3550
Other practice location 1
6155 Dixie Hwy
Bridgeport, MI 48722-9618
Phone (989) 777-3550
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.