Individual provider Active NPI

Chase A Kennedy-Galley, CPHT

  • Pharmacy Technician
  • Milford, MI
National Provider Identifier
1447928130
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303021878 Issued in MI
Practice address
640 N Milford Rd
Milford, MI 48381-1534
Phone
(248) 676-2916
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303021878 MI Primary

Addresses

Primary practice location

640 N Milford Rd
Milford, MI 48381-1534

Mailing address

875 Manor Dr
Milford, MI 48381-1756
Phone (248) 568-1992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chase.Kennedy-galley@riteaid.com Direct

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

LicenseStateTypeSpecialty
5303021878MIMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Drug Stores Inc and Subsidiaries PastSince Sep 5, 2021 Accepting new patients
Perry Drug Stores Inc and Subsidiaries PastSince Sep 5, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chase.kennedy-galley@riteaid.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1447928130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MANOR DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811756",
            "telephone_number": "248-568-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N MILFORD RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811534",
            "telephone_number": "248-676-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-GALLEY",
        "first_name": "CHASE",
        "middle_name": "A",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303021878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chase.Kennedy-galley@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 N Milford Rd",
            "city": "Milford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483811534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.