KEVIN KUCERA (NPI# 1952934069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952934069 |
| Entity Type | Individual |
| Full Name | KEVIN KUCERA |
| Credential | PHARMD |
| Practice Address |
66 E Walton Blvd Pontiac MI 48340-1277 |
| Mailing Address |
5415 Inverrary Ln Commerce Township MI 48382-1010 |
| Practice Telephone | 2483341896 |
| Mailing Telephone | 3134565628 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040219 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083164446 | Kevin Kucera | Occupational Therapist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2016-10-10 |
| Street Address |
66 E WALTON BLVD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831201771 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2006-08-31 |
| 1285266429 | Beatrice Njinda | Pharmacist | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2020-02-05 |
| 1457982266 | Jeffrey Arthur Sondergaard | Pharmacist | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1154837110 | Wissam Thweni | Pharmacist | 140 N Saginaw St, Pontiac, MI 48342-2112 | 2017-12-28 |
| 1043758246 | Mohamed Gomaa | Pharmacist | 35 S Johnson St Ste 1e, Pontiac, MI 48341-1660 | 2017-02-08 |
| 1306251731 | Besman Jamil | Pharmacist | 3 S Telegraph Rd, Pontiac, MI 48341-1568 | 2014-06-24 |
| 1164706818 | Kenneth Louis Albrecht | Pharmacist | 813 N Cimmeron Dr, Pontiac, IL 61764-9428 | 2011-09-29 |
| 1568780047 | Paul Primo Petrucci | Pharmacist | 1186 Baldwin Ave, Pontiac, MI 48340-2708 | 2010-05-10 |
| 1194924639 | Charles Wyman Hughes | Pharmacist | 690 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1626 | 2007-07-14 |
| 1306052048 | Rsn, LLC | Pharmacist | 219 Baldwin Ave, Pontiac, MI 48342-1301 | 2007-05-16 |
| 1467667485 | Rex A Pence | Pharmacist | 1034 W Reynolds St, Pontiac, IL 61764-9767 | 2007-05-12 |
| 1225151103 | Olaolu A Akinbiyi | Pharmacist | 360 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1712 | 2007-04-07 |
| 1013008887 | Hershel B Cohen | Pharmacist | 640 Auburn Ave, Pontiac, MI 48342-3303 | 2006-09-27 |
| Find all providers in PONTIAC | ||||
Please comment or provide details below to improve the information on KEVIN KUCERA.
| 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.