Alicia Michelle Kasper, PHARMD
Individual provider Active NPI Pharmacist · Brimley, MI
NPI 1942018700 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1942018700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302416925 (MI)
- Practice address
- 12455 W Lakeshore Dr
Brimley, MI 49715-9327 - Phone
- (906) 248-2031
- Fax
- (906) 248-8366
- NPI assigned
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302416925 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302416925 | MI | Yes |
Addresses
Primary practice location
12455 W Lakeshore Dr
Brimley, MI 49715-9327
Mailing address
12455 W Lakeshore Dr
Brimley, MI 49715-9327
Phone (906) 248-2031
Other providers in Brimley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.