Individual provider Active NPI

Kurt Pline, PHARMD

  • Pharmacist
  • Lansing, MI
National Provider Identifier
1285917351
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033555 Issued in MI
Practice address
410 E Jolly Rd
Lansing, MI 48910-6649
Phone
(517) 882-2732
Fax
(517) 882-3808
NPI assigned
Sep 24, 2011
Last updated
Sep 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033555 MI Primary

Addresses

Primary practice location

410 E Jolly Rd
Lansing, MI 48910-6649

Mailing address

11617 Cutler Rd
Portland, MI 48875-8467
Phone (517) 763-7050

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

LicenseStateTypeSpecialty
5302033555MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1285917351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11617 CUTLER RD",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758467",
            "telephone_number": "517-763-7050",
            "fax_number": "517-882-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106649",
            "telephone_number": "517-882-2732",
            "fax_number": "517-882-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLINE",
        "first_name": "KURT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.