Kevin Kucera, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040219 Issued in MI

Practice address

66 E Walton Blvd
Pontiac, MI 48340-1277

Phone

(248) 334-1896

NPI assigned

Feb 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1952934069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 INVERRARY LN",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821010",
            "telephone_number": "313-456-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E WALTON BLVD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401277",
            "telephone_number": "248-334-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "KEVIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorand Kristof, M.D.
• Michael Scott Krivitsky, D.O.
• Sydney Erin Krolikowski, M.A CCC-SLP
• Vincent James Krolikowski, AGACNP-BC
• Adrienne Krystyniak, CCC-SLP
• Rachel Kuisell, PA
• Sydney Hayes Kukla
• John R Kuksa, P.A.
• Bhavya Kumar, MD
• Arpita Kundal, P.T.

• Pharmacist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.