Active NPI
Ronald Joseph Killian
- Pharmacist
- Flint, MI
National Provider Identifier
1235470113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022796
- Practice address
- 3701 Lapeer Rd
T-629
Flint, MI 48503-4598 - Phone
- (810) 743-6380
- NPI assigned
- Mar 2, 2013
- Last updated
- Mar 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302022796 | MI | Primary |
Addresses
Primary practice location
3701 Lapeer Rd
T-629
Flint, MI 48503-4598
Mailing address
3701 Lapeer Rd
T-629
Flint, MI 48503-4598
Phone (810) 743-6380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022796 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362182400000",
"number": "1235470113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LAPEER RD",
"address_2": "T-629",
"city": "FLINT",
"state": "MI",
"postal_code": "485034598",
"telephone_number": "810-743-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LAPEER RD",
"address_2": "T-629",
"city": "FLINT",
"state": "MI",
"postal_code": "485034598",
"telephone_number": "810-743-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-02",
"last_updated": "2013-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.