Active NPI
Renee Kuza
- Pharmacist
- Sylvan Lake, MI
National Provider Identifier
1750914701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5315113098
- Practice address
- 2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651 - Phone
- (248) 682-3666
- NPI assigned
- Feb 18, 2020
- Last updated
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5315113098 | MI | Primary |
Addresses
Primary practice location
2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651
Mailing address
2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315113098 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1750914701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2387 ORCHARD LAKE RD",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 ORCHARD LAKE RD",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201651",
"telephone_number": "248-682-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZA",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5315113098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylvan Lake, MI
- Gary Stephen Granat
- Ashok Gupta, M.D.
- Healing Hands Urgent Care Medical Clinic PC
- Healing Hands Urgent Care Medical Clinic PC
- Venette Rhea Hysmith, MT
- Helene Tracy Little X
- Motria Lusk
- Michigan Family Medicine PLLC (Michigan Family Medicine)
- Michigan Family Medicine, PLLC
- Michigan Family Medicine, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.