Kristen Eid, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302045520 Issued in MI

Practice address

2373 64TH St SW Ste 1300
Byron Center, MI 49315-7975

Phone

(616) 685-1350

NPI assigned

Sep 7, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: keid20782@direct.trinity-health.org

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1790454593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 BROOKGATE DR NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219311",
            "telephone_number": "419-351-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 64TH ST SW STE 1300",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157975",
            "telephone_number": "616-685-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "KRISTEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302045520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keid20782@direct.trinity-health.org",
            "affiliation": "N",
            "address_1": "2373 64th St SW Ste 1300",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493157975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.