Individual provider Active NPI

Kirstin Lynn Sims, RPH

  • Pharmacist
  • Big Rapids, MI
National Provider Identifier
1912148180
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028835 Issued in MI
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302028835MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.