Active NPI
Kimberly Radwanski
- Pharmacist
- Brighton, MI
National Provider Identifier
1316212707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029106
- Practice address
- 6700 Whitmore Lake Rd
Brighton, MI 48116-2160 - Phone
- (810) 220-8977
- Fax
- (810) 220-8974
- NPI assigned
- Mar 19, 2012
- Last updated
- Mar 19, 2012
- Sex
- Female
- 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 | 5302029106 | MI | Primary |
Addresses
Primary practice location
6700 Whitmore Lake Rd
Brighton, MI 48116-2160
Mailing address
6700 Whitmore Lake Rd
Brighton, MI 48116-2160
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 |
|---|---|---|---|
| 5302029106 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1316212707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162160",
"telephone_number": "810-220-8977",
"fax_number": "810-220-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADWANSKI",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.