Active NPI
Kirstin Lynn Sims, RPH
- Pharmacist
- Big Rapids, MI
National Provider Identifier
1912148180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028835
- Practice address
- 15400 Waldron Way
Big Rapids, MI 49307-8890 - Phone
- (231) 527-0233
- Fax
- (231) 527-0265
- NPI assigned
- Mar 17, 2009
- Last updated
- Mar 17, 2009
- Sex
- Female
- 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 | 5302028835 | MI | Primary |
Addresses
Primary practice location
15400 Waldron Way
Big Rapids, MI 49307-8890
Mailing address
23103 13 Mile Rd
Big Rapids, MI 49307-9032
Phone (231) 527-0210
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028835 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1912148180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23103 13 MILE RD",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079032",
"telephone_number": "231-527-0210",
"fax_number": "231-527-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 WALDRON WAY",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493078890",
"telephone_number": "231-527-0233",
"fax_number": "231-527-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "KIRSTIN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.