Active NPI
Robert Paul Kingscott, RPH
- Geriatric Pharmacist
- Eastpointe, MI
National Provider Identifier
1376605022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 5302027137
- Practice address
- 21811 Kelly Rd
Suite 103
Eastpointe, MI 48021-2793 - Phone
- (586) 498-7600
- Fax
- (586) 498-2011
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 5302027137 | MI | Primary |
Addresses
Primary practice location
21811 Kelly Rd
Suite 103
Eastpointe, MI 48021-2793
Mailing address
965 Washington Rd
Grosse Pointe, MI 48230-1211
Phone (313) 640-8394
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027137 | MI | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etelrx Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Eastpointe, MI
- NPI 1386792760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376605022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 WASHINGTON RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301211",
"telephone_number": "313-640-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21811 KELLY RD",
"address_2": "SUITE 103",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480212793",
"telephone_number": "586-498-7600",
"fax_number": "586-498-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSCOTT",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MI",
"license": "5302027137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.