Active NPI
Kyle Andrew Wilhelm, PHARM. D.
- Pharmacist
- Port Huron, MI
National Provider Identifier
1740457233
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Feb 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038133
- Practice address
- 940 Lapeer Ave
Port Huron, MI 48060-4414 - Phone
- (810) 982-4721
- Fax
- (810) 982-4783
- NPI assigned
- May 13, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302038133 | MI | Primary |
Addresses
Primary practice location
940 Lapeer Ave
Port Huron, MI 48060-4414
Mailing address
3560 Pine Grove Ave
507
Port Huron, MI 48060-1994
Phone (810) 824-3033
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302038133 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1740457233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 PINE GROVE AVE",
"address_2": "507",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480601994",
"telephone_number": "810-824-3033",
"fax_number": "810-824-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 LAPEER AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480604414",
"telephone_number": "810-982-4721",
"fax_number": "810-982-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM",
"first_name": "KYLE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.