Shannon Kaye Kulick, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302034363 Issued in MI

Practice address

1450 W Chicago Blvd
Tecumseh, MI 49286-8727

Phone

(517) 424-1212

Fax

(517) 424-1213

NPI assigned

Dec 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buschs Inc

  • Pharmacy
  • Tecumseh, MI
  • NPI 1720072572
  NPD (past)
• Buschs Inc

  • Pharmacy
  • Plymouth, MI
  • NPI 1992799746
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831267194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PADDOCK PL",
            "address_2": "APT 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082816",
            "telephone_number": "734-377-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492868727",
            "telephone_number": "517-424-1212",
            "fax_number": "517-424-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "SHANNON",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M. Killian, N.P., R.N.C.
• Alyssa King
• Linda Sue Klavon, MS, RN, CS, ACNP-BC
• Leslie Ann Kovalski, L.P.C.
• Alexandria Kozich, PT, DPT
• Jaylen Lambka
• Andrea Lauderdale, DPT
• Robert Leffler, PT
• Shaun Lewandowski
• Kun Li, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.