Active NPI
Nicholas Kriebel, PHARMD
- Pharmacist
- Clinton TWP, MI
National Provider Identifier
1184074312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302043726
- Practice address
- 16741 Canal Rd
Clinton TWP, MI 48038-1614 - Phone
- (586) 286-5753
- Fax
- (586) 286-6575
- NPI assigned
- Jun 19, 2016
- Last updated
- Jun 19, 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 | 5302043726 | MI | Primary |
Addresses
Primary practice location
16741 Canal Rd
Clinton TWP, MI 48038-1614
Mailing address
52409 Creek LN
Chesterfield, MI 48047-4544
Phone (586) 864-2033
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 |
|---|---|---|---|
| 5302043726 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466294400000",
"number": "1184074312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52409 CREEK LN",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474544",
"telephone_number": "586-864-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16741 CANAL RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381614",
"telephone_number": "586-286-5753",
"fax_number": "586-286-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEBEL",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-19",
"last_updated": "2016-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.