Kevin Clifford Scott

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302032370 Issued in MI

Practice address

945 N Euclid Ave
Bay City, MI 48706-2400

Phone

(989) 686-3592

Fax

(989) 686-0232

NPI assigned

Nov 20, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Bay City, MI
  • NPI 1255365011
  NPD
• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1164068516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S 4 MILE RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069073",
            "telephone_number": "989-686-3592",
            "fax_number": "989-686-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062400",
            "telephone_number": "989-686-3592",
            "fax_number": "989-686-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KEVIN",
        "middle_name": "CLIFFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittny Schwab, FNP-BC
• Pamela Schwartz
• Laken Schwerin
• Destiny Scott
• Emma Mae Scott
• Bradfield Sebald
• Heather Seegraves
• Samantha M Seelye, PTA
• Seerat Ghotra Inc
• Kathleen Sefcovic

• Pharmacist in Bay City, MI
• Providers in Bay City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.