Active NPI
Kennedy Houle, PHARMD
- Pharmacist
- Iron Mountain, MI
National Provider Identifier
1477475093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413852
- Practice address
- 1721 S Stephenson Ave
Iron Mountain, MI 49801-3637 - Phone
- (906) 774-5413
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413852 | MI | Primary |
Addresses
Primary practice location
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Mailing address
N17754 44 Road
Hermansville, MI 49847
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1477475093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N17754 44 ROAD",
"city": "HERMANSVILLE",
"state": "MI",
"postal_code": "49847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 S STEPHENSON AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013637",
"telephone_number": "906-774-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULE",
"first_name": "KENNEDY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.