Kaylah Renee Magdic
Individual provider Active NPI Pharmacist · Belding, MI
NPI 1548876147 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1548876147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302413009 (MI)
- Practice address
- 301 W Main St
Belding, MI 48809-1675 - Phone
- (616) 794-4053
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413009 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy Inc | Current |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Hometown Pharmacy Inc | Past |
Accepting new patients |
Locations
301 W Main St
Belding, MI 48809
Phone (616) 794-4053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413009 | MI | Yes |
Addresses
Primary practice location
301 W Main St
Belding, MI 48809-1675
Mailing address
25 Pleasant St
Sparta, MI 49345-1228
Other practice location 1
2680 Leonard St NE Ste NE
Grand Rapids, MI 49525-6934
Phone (616) 369-6401
Other providers in Belding, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.