Individual provider Active NPI

Kelsey Mosher, PHARMD

  • Pharmacist
  • Shelbyville, MI
National Provider Identifier
1619328879
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302043690 Issued in MI
Practice address
2880 Mission Dr
Shelbyville, MI 49344
Phone
(269) 397-1760
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051298773 IL
Pharmacist 183500000X 5302043690 MI Primary

Addresses

Primary practice location

2880 Mission Dr
Shelbyville, MI 49344

Mailing address

100 Minges Creek PL Apt A311
Battle Creek, MI 49015-5781
Phone (217) 821-2190

Other practice location 1

100 Minges Creek Pl
Apt A311
Battle Creek, MI 49015-5716
Phone (217) 821-2190

Other practice location 2

3493 Gray Fox Ct
Allegan, MI 49010-8703
Phone (217) 821-2190

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

LicenseStateTypeSpecialty
051298773ILMDPharmacist
5302043690MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1619328879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MINGES CREEK PL APT A311",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490155781",
            "telephone_number": "217-821-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 MISSION DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "49344",
            "telephone_number": "269-397-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Minges Creek Pl",
            "address_2": "Apt A311",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490155716",
            "country_code": "US",
            "telephone_number": "217-821-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3493 Gray Fox Ct",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490108703",
            "country_code": "US",
            "telephone_number": "217-821-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298773",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.