KYLE V BROTHERTON (NPI# 1669966263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669966263 |
| Entity Type | Individual |
| Full Name | KYLE V BROTHERTON |
| Credential | PHARM. D. |
| Practice Address |
415 W Vienna St Clio MI 48420-1307 |
| Practice Telephone | 1810547127 |
| Practice Fax Number | 8105471542 |
| Mailing Telephone | 1810547127 |
| Mailing Fax Number | 8105471542 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302038806 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053711523 | Kyle Brotherton | Chiropractor | 8924 S Western Ave, Oklahoma City, OK 73139-9202 | 2014-09-03 |
| Street Address |
415 W VIENNA ST |
| City | CLIO |
| State | MI |
| Zip Code | 48420-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496333 | Bordens Pharmacy Inc | Pharmacy | 415 W Vienna St, Clio, MI 48420-1307 | 2005-06-11 |
| 1619306875 | Borden S Family Pharmacy LLC | Pharmacy | 415 W Vienna St, Clio, MI 48420 | 2013-11-07 |
| 1396028486 | William Martin Dudewicz Jr. | Pharmacist | 415 W Vienna St, Clio, MI 48420-1307 | 2011-09-24 |
| 1477627693 | Jeanine Marie Czape | Pharmacist | 415 W Vienna St, Clio, MI 48420-1307 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
| 1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
| 1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
| 1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1699836346 | Stone Creek Manor | Technician | 609 Stone Creek Pass, Clio, MI 48420 | 2006-12-13 |
| 1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
| 1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
| 1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
| 1740431360 | Lorraine Byers-miller O.d., P.C. | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2008-10-01 |
| Find all providers in zip 48420 | ||||
| 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 |
|---|---|---|---|---|
| 1871892901 | David L Monteith | Pharmacist | 100 E Vienna St, Clio, MI 48420-1421 | 2011-03-15 |
| 1891027066 | Keith Joseph Smith | Pharmacist | 4290 W Vienna Rd, Clio, MI 48420-9454 | 2010-02-12 |
| 1609932326 | Gerald Lamar Jowers | Pharmacist | 1199 Blue Springs Street, Clio, AL 36017-0460 | 2006-12-28 |
| 1508978610 | Vg's Pharmacy Inc | Pharmacist | 710 S Mill St, Clio, MI 48420-1491 | 2006-08-31 |
| 1962514000 | Crystal K. Whitman | Pharmacist | 11332 Grand Oaks Dr, Clio, MI 48420-8288 | 2006-08-31 |
| 1700348117 | Carmen Bakdaleyeh | Pharmacist | 11493 N Linden Rd, Clio, MI 48420-8586 | 2019-04-03 |
| 1073980223 | Anu Joseph | Pharmacist | 4290 W Vienna Rd, Clio, MI 48420-9454 | 2015-08-24 |
| 1407254600 | Sveta Manu Dalsania | Pharmacist | 100 E Vienna St, Clio, MI 48420-1421 | 2014-12-21 |
| 1386049559 | Sandra Trombley | Pharmacist | 100 E Vienna St, Clio, MI 48420-1421 | 2014-10-29 |
| 1538445150 | Mary Bontumasi | Pharmacist | 710 S Mill St, Clio, MI 48420-1491 | 2011-10-27 |
| Find all providers in CLIO | ||||
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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.