Kathryn Elaine Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302411270 Issued in MI

Practice address

2377 E M 113
Kingsley, MI 49649-9370

Phone

(231) 263-5123

Fax

(231) 263-5513

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Elaine Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northland Food Center Inc

  dba Northland Food Center

  • Community/Retail Pharmacy
  • Kingsley, MI
  • NPI 1548208168
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821526815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 US 131",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468821",
            "telephone_number": "231-258-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-5123",
            "fax_number": "231-263-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 US 131",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496468821",
            "country_code": "US",
            "telephone_number": "231-258-9116",
            "fax_number": "855-235-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4716 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496857479",
            "country_code": "US",
            "telephone_number": "734-612-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MYERS",
            "middle_name": "ELAINE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel Rae Oster
• Renegade Counseling
• RNC Medical Supplies
• Ben C Shembarger
• Cameron Gregory Sipple
• Kari Jo Speckman, MS PT CMLDT
• Jessica Jolene Stark, CTRS
• Terrence A Stevens
• Jenna Lynn Stump, PA
• The Lighthouse - Traverse City, LLC

• Pharmacist in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.