Kaci Oda Chamberlin, R.PH.
Individual provider Active NPI Pharmacist · Grand Ledge, MI
NPI 1336224880 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336224880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032417 (MI)
- Practice address
- 508 S Clinton St
Grand Ledge, MI 48837 - Phone
- (517) 627-1670
- Fax
- (517) 627-0068
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032417 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032417 | MI | Yes |
Addresses
Primary practice location
508 S Clinton St
Grand Ledge, MI 48837
Mailing address
1166 Russell Lea Dr
Charlotte, MI 48813-8785
Phone (517) 541-0305
Other names
- Ms. Kaci Lynn Oda-Morse
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.