Kenneth Lee McKenzie, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302026011 Issued in MI

Practice address

211 W Lake St
Tawas City, MI 48763-9274

Phone

(989) 362-3439

NPI assigned

Apr 18, 2011

Last updated

Apr 18, 2011By 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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1730479262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ANNA DR",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639208",
            "telephone_number": "989-362-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639274",
            "telephone_number": "989-362-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302026011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Mason
• Jo Studley May, MD
• Adriana Maynard, OCCUPATIONAL THERAPI
• Jill McCoy, PT, DPT
• Victoria McGillis, FNP-BC
• Tana McKulsky, FNP-BC
• McLaren Central Michigan
• Ian McLaren, M.D.
• Lerine Patricia Mechouela-Talom
• Richard Meshew, PA

• Pharmacist in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.