Sydney Theree King, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302042855 Issued in MI

Practice address

1341 N M 52
Owosso, MI 48867-1232

Phone

(989) 725-5141

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sydney Therese Bruno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Fare, LLC

  • Community/Retail Pharmacy
  • Owosso, MI
  • NPI 1508001207
  NPD (past)
• VG'S Pharmacy Inc

  • Pharmacist
  • Owosso, MI
  • NPI 1255434528
  NPD (past)
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Ann Arbor, MI
  • NPI 1861594103
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1346871563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671232",
            "telephone_number": "989-725-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671232",
            "telephone_number": "989-725-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SYDNEY",
        "middle_name": "THEREE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "BRUNO",
            "middle_name": "THERESE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Kilmer
• Karen Kilpatrick, LMSW
• Jasmin Kimmel
• Josie King
• Kristyn King
• Breanna Knapp
• Theresa Rose Kneale, PT
• Knecht and Wolf, DDS, P.C.
• Knight Drugs Owosso, Inc.
• Sanaa Knox, LLMSW

• Pharmacist in Owosso, MI
• Providers in Owosso, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.