Active NPI
Klaid Hyso, PHARMD
- Pharmacist
- Muskegon, MI
National Provider Identifier
1851677058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037255
- Practice address
- 1391 E Sherman Blvd
Muskegon, MI 49444-1802 - Phone
- (231) 739-7158
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- 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 | 5302037255 | MI | Primary |
Addresses
Primary practice location
1391 E Sherman Blvd
Muskegon, MI 49444-1802
Mailing address
2637 Royal Vista Dr NW Apt 302
Grand Rapids, MI 49534-1362
Phone (231) 679-2207
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037255 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watkins Pharmacy & Surgical Supply | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Muskegon, MI
- NPI 1306913900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1851677058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 ROYAL VISTA DR NW APT 302",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495341362",
"telephone_number": "231-679-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441802",
"telephone_number": "231-739-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYSO",
"first_name": "KLAID",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.