Active NPI
Kelley Vandagriff, PHARM.D.
- Pharmacotherapy Pharmacist
- Ann Arbor, MI
National Provider Identifier
1568872265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302039586
- Practice address
- 5645 Jackson Rd
Ann Arbor, MI 48103-9504 - Phone
- (734) 222-0310
- NPI assigned
- May 2, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302039586 | MI | Primary |
Addresses
Primary practice location
5645 Jackson Rd
Ann Arbor, MI 48103-9504
Mailing address
5645 Jackson Rd
Ann Arbor, MI 48103-9504
Phone (734) 222-0310
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039586 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1568872265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 JACKSON RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039504",
"telephone_number": "734-222-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 JACKSON RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039504",
"telephone_number": "734-222-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDAGRIFF",
"first_name": "KELLEY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302039586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.