Active NPI
Kathleen P Willing
- Pharmacy Technician
- Yale, MI
National Provider Identifier
1609093558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 080106255627233
- Practice address
- 25 S Main St
Yale, MI 48097-3317 - Phone
- (810) 387-4244
- Fax
- (810) 387-2605
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 080106255627233 | MI | Primary |
Addresses
Primary practice location
25 S Main St
Yale, MI 48097-3317
Mailing address
116 Clark Ave
Yale, MI 48097
Phone (810) 387-4244
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
| License | State | Type | Specialty |
|---|---|---|---|
| 080106255627233 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609093558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CLARK AVE",
"city": "YALE",
"state": "MI",
"postal_code": "48097",
"telephone_number": "810-387-4244",
"fax_number": "810-387-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S MAIN ST",
"city": "YALE",
"state": "MI",
"postal_code": "480973317",
"telephone_number": "810-387-4244",
"fax_number": "810-387-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLING",
"first_name": "KATHLEEN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "080106255627233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.