KAITLYN CRADDOCK (NPI# 1306322458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306322458 |
| Entity Type | Individual |
| Full Name | KAITLYN CRADDOCK |
| Credential | PHARMD |
| Practice Address |
588 E Lakewood Blvd Fl 2 Holland MI 49424-2023 |
| Mailing Address |
665 Seward Ave Nw Ste 320 Grand Rapids MI 49504-5190 |
| Practice Telephone | 6164945800 |
| Mailing Telephone | 6162677029 |
| Mailing Fax Number | 6163919085 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
5302046746 | MI | Pharmacy Service Providers |
| Street Address |
588 E LAKEWOOD BLVD FL 2 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174787816 | Elizabeth Jayne Jeffers | Surgery | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2008-07-11 |
| 1609421114 | Emily Marie Jones | Pharmacist | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2019-08-02 |
| 1902264682 | Margaret Ellen Emerson | Physician Assistant | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2016-02-09 |
| 1508279589 | Michelle Donielle Price | Internal Medicine | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2014-06-06 |
| 1497012843 | Tiffany Jarois | Internal Medicine | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806298 | Kathleen Hannah | Pharmacist | 271 N Groesbeck Hwy, Mount Clemens, MI 48043-1546 | 2020-06-21 |
| 1043868409 | Krishna Shankar Rangarajan | Pharmacist | 32 Cloveridge Dr, Troy, MI 48084-5411 | 2019-08-29 |
| 1447716014 | Helen Berlie | Pharmacist | 7633 E Jefferson Ave Ste 340, Detroit, MI 48214-3732 | 2019-02-19 |
| 1316417553 | Bethany Lynn Muma | Pharmacist | 2900 Watkins Rd, Battle Creek, MI 49015-8604 | 2018-11-30 |
| 1598272627 | Erika Perpich | Pharmacist | 33300 Five Mile Rd Ste 210, Livonia, MI 48154-3077 | 2018-01-10 |
| 1518491505 | Jennifer Leanne Grando | Pharmacist | 26375 Halsted Rd Apt 101, Farmington Hills, MI 48331-3743 | 2017-04-17 |
| 1467984567 | Susan Arens | Pharmacist | 3544 Meridian Crossings Ste 120, Okemos, MI 48864-4589 | 2017-03-29 |
| 1346607850 | Annaliese Brindley | Pharmacist | 29200 Northwestern Hwy Ste 325, Southfield, MI 48034-1061 | 2016-01-28 |
| 1851991418 | John M Leach | Pharmacist | 555 E Genesee St, Lapeer, MI 48446-4611 | 2020-10-31 |
| 1538778881 | Ryan M Lalonde | Pharmacist | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.