Kentwood Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301008811 Issued in MI

Legal business name

KENTWOOD PHARMACY

Doing business as

Kentwood Pharmacy

Practice address

2480 44TH St SE
Kentwood, MI 49512-9090

Phone

(616) 827-9100

Fax

(616) 827-9116

NPI assigned

Feb 28, 2008

Last updated

Oct 15, 2008By 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

Jennifer Bynski

Title

Oper Mang

Phone

(616) 581-7093

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KENTWOOD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1346419892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129090",
            "telephone_number": "616-827-9100",
            "fax_number": "616-827-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTWOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BYNSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPER MANG",
        "authorized_official_telephone_number": "616-581-7093"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2370841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENTWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan M Kelley
• Allison Kellogg
• Bethany Kemler
• Kentwood Family Dental Care, PLC
• Kentwood Operations, LLC (Elmcroft of Kentwood)
• Kentwood Physical Therapy, PLLC
• Keren Home Care Solutions LLC
• Kevin a. Coe D.D.S., PC
• Xolani Dean Khaka I
• Jessica Megan Kibiloski

• Long Term Care Pharmacy in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.