Charles W. Killewald, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302024391 Issued in MI

Practice address

4100 S River Rd
East China, MI 48054-2909

Phone

(810) 326-4717

Fax

(810) 329-8926

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1679723043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SCOTT B DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793566",
            "telephone_number": "810-326-2605",
            "fax_number": "810-326-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S RIVER RD",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542909",
            "telephone_number": "810-326-4717",
            "fax_number": "810-329-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEWALD",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hulst, OD
• Bridget Jablinskey, MPT
• Randall Peter Kamlay, OD
• Kenneth MD PLC
• Keystone Dialysis LLC (East China Dialysis)
• Patricia Kindsvater, MD
• Lisa Sue Koehn, MSW, CSW
• Laura Lucio-Reincke, PLLC
• Sherice Letarte
• Jeffrey L. Lukas, MD

• Pharmacist in East China, MI
• Providers in East China, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.