Active NPI
Kim Edward Forster, R.PH
- Pharmacist
- Central Lake, MI
National Provider Identifier
1932347499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022953
- Practice address
- 2424 N Main St
Central Lake, MI 49622-9271 - Phone
- (231) 544-2929
- Fax
- (231) 544-5408
- NPI assigned
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 5302022953 | MI | Primary |
Addresses
Primary practice location
2424 N Main St
Central Lake, MI 49622-9271
Mailing address
PO Box 425
Central Lake, MI 49622-0425
Phone (231) 544-2929
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 |
|---|---|---|---|
| 5302022953 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Lake Pharmacy Inc | 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.
-
dba Central Lake Pharmacy
- Community/Retail Pharmacy
- Central Lake, MI
- NPI 1235272568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1932347499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "CENTRAL LAKE",
"state": "MI",
"postal_code": "496220425",
"telephone_number": "231-544-2929",
"fax_number": "231-544-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 N MAIN ST",
"city": "CENTRAL LAKE",
"state": "MI",
"postal_code": "496229271",
"telephone_number": "231-544-2929",
"fax_number": "231-544-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSTER",
"first_name": "KIM",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Lake, MI
- David Dibble DDS PC
- David Lee Dibble, DDS
- East Jordan Family Health Center (Central Lake Family Health Center)
- Eastport Village Care Home LLC
- Karen Adkins Ferguson, RPH
- Andrea Kline, CADC. CPRC
- Briana Marie Padgett, PSY S
- Shantel Mary Potter, NPI
- Secret Forest Country Doctor
- Whites Senior Assistance LLC (Acts of Love Home Companions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.