Organization Active NPI

Personalized Pharmacist Services PLLC

  • Pharmacist
  • Kalamazoo, MI
National Provider Identifier
1891934303
Registry record updated Feb 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302021127 Issued in MI
Legal business name
PERSONALIZED PHARMACIST SERVICES PLLC
Practice address
2587 Hunters PT
Kalamazoo, MI 49048-6115
Phone
(269) 491-1248
NPI assigned
Feb 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2009

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

Authorized official

Name
Mr. Gregory Duane Deibert, R.PH.
Title
Member
Phone
(269) 491-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5302021127 MI Primary

Addresses

Primary practice location

2587 Hunters PT
Kalamazoo, MI 49048-6115

Mailing address

2587 Hunters PT
Kalamazoo, MI 49048-6115
Phone (269) 491-1248

National Provider Directory

National Provider Directory
Tax ID family
Personalized Pharmacist Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234051200000",
    "number": "1891934303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 HUNTERS PT",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486115",
            "telephone_number": "269-491-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 HUNTERS PT",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486115",
            "telephone_number": "269-491-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PHARMACIST SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-08",
        "last_updated": "2009-02-08",
        "status": "A",
        "authorized_official_last_name": "DEIBERT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-491-1248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2009; 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.