Kaitlyn Kono, PHARMD
Individual provider Active NPI Pharmacist · Brooklyn, MI
NPI 1649869173 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1649869173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5315104452 (MI)
- Practice address
- 11301 Brooklyn Rd
Brooklyn, MI 49230-8485 - Phone
- (517) 592-2475
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315104452 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Market Pharmacies LLC | Past |
Accepting new patients | |
| Country Market Pharmacies LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5315104452 | MI | Yes |
Addresses
Primary practice location
11301 Brooklyn Rd
Brooklyn, MI 49230-8485
Mailing address
11301 Brooklyn Rd
Brooklyn, MI 49230-8485
Phone (517) 592-2475
Other providers in Brooklyn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. 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.