Kendall Christopher Elam, PHARMACY TECH

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

5303008000 Issued in MI

Practice address

3225 Towne Centre Blvd BLDG 3225
Lansing, MI 48912-5620

Phone

(517) 487-9161

NPI assigned

Mar 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497330492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 TOWNE CENTRE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125620",
            "telephone_number": "517-487-9161",
            "fax_number": "517-487-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TOWNE CENTRE BLVD BLDG 3225",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125620",
            "telephone_number": "517-487-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "KENDALL",
        "middle_name": "CHRISTOPHER",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "MI",
            "license": "5303008000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
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• Sarah El Mouatassim Bih, DO
• Nadim El-Hage, MD
• Mahdi Elahi
• Ala Elayyan, M.D.
• Elctrodiagnostic Medicine Consultants, PLLC
• Megan Eldred
• Angela Christine Elenbaas, PMHNP
• Elevate Counseling and Community Services, LLC

• All providers in Lansing, MI
• Technician/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.