Wadhams Corner Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WADHAMS CORNER PHARMACY, LLC

Practice address

5283 Lapeer Rd
Kimball, MI 48074-1422

Phone

(810) 325-1761

NPI assigned

Mar 29, 2022

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Hennesey, RPHNPI 1861591828

Title

Pharmacist/Owner

Phone

(810) 242-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen J Hennesey, RPH

  • Pharmacist
  • Kimball, MI
  • NPI 1861591828
  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1215677349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 LAPEER RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 LAPEER RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741422",
            "telephone_number": "810-325-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADHAMS CORNER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "HENNESEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "810-242-1001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thumbcoast Transportation Service Inc
• Jeffery Alan Topolewski, O.D.
• Mark Alan Topolewski, O.D.
• Dennis Albert Vollmer, R.PH.
• Crystal M Vollstaedt, LPN
• Wadhams Family Care PLLC
• Jeffrey Alan Wolff, AGAC-NP
• Kelley Wood, BSN,RN
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08053)

• Community/Retail Pharmacy in Kimball, MI
• Providers in Kimball, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.