MICHAEL KELLY (NPI# 1356856348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356856348 |
| Entity Type | Individual |
| Full Name | MICHAEL KELLY |
| Credential | R.PH |
| Practice Address |
715 E Front St Buchanan MI 49107-1458 |
| Mailing Address |
13911 Grant St Crown Point IN 46307-9225 |
| Practice Telephone | 2696952000 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302045631 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
715 E FRONT ST |
| City | BUCHANAN |
| State | MI |
| Zip Code | 49107-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472960 | Sandipkumar Patel | Pharmacist | 715 E Front St, Buchanan, MI 49107-1458 | 2008-10-13 |
| 1578797528 | Venugopal Reddy Maheshwaram | Pharmacist | 715 E Front St, Buchanan, MI 49107-1458 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447453188 | Ronald C Carr | Dentist | 802 East Front St, Ste 5, Buchanan, MI 49107 | 2007-06-08 |
| 1669696464 | Barbara A Starke | Registered Nurse | 804 E Front Street, Buchanan, MI 49107 | 2007-04-12 |
| 1558338368 | Respiratory Home Care & Convalescent Supply Inc | Durable Medical Equipment & Medical Supplies | 320 N Redbud Trail, Buchanan, MI 49107 | 2006-03-01 |
| 1255827382 | Kari Mitchell-coplen | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107 | 2018-07-01 |
| 1790294064 | Red Bud Health Services LLC | Physical Therapist | 500 E 3rd St, Buchanan, MI 49107 | 2017-09-29 |
| 1457743486 | Audrey Lynn Carrier | Family Medicine | 1045 E Front St, Buchanan, MI 49107 | 2015-02-27 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1235526260 | Into His Rest Ministries | Social Worker | 102 Elizabeth St, Buchanan, MI 49107-1327 | 2015-04-16 |
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| Find all providers in zip 49107 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851713259 | Rebecca Watts | Pharmacist | 3764 Lithia Rd, Buchanan, VA 24066-5221 | 2014-01-20 |
| 1144472960 | Sandipkumar Patel | Pharmacist | 715 E Front St, Buchanan, MI 49107-1458 | 2008-10-13 |
| 1578797528 | Venugopal Reddy Maheshwaram | Pharmacist | 715 E Front St, Buchanan, MI 49107-1458 | 2009-05-05 |
| 1750594719 | Thomas Jeff Large | Pharmacist | 406 Courthouse Square, Buchanan, GA 30113 | 2007-05-07 |
| 1083835946 | Patrick Manning Cook | Pharmacist | 406 Carrollton St, Buchanan, GA 30113 | 2007-05-01 |
| 1710075015 | Kathleen Elaine Trapuzzano | Pharmacist | 19771 Main St, Buchanan, VA 24066 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| 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.