MR. KEVIN CHARLES WHITE (NPI# 1285768341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285768341 |
| Entity Type | Individual |
| Full Name | MR. KEVIN CHARLES WHITE |
| Credential | R.PH. |
| Practice Address |
10920 Grand River Ave Detroit MI 48204-2052 |
| Mailing Address |
4579 Lehigh Dr Troy MI 48098-4406 |
| Practice Telephone | 3139310010 |
| Practice Fax Number | 3139341658 |
| Mailing Telephone | 3133205200 |
| Mailing Fax Number | 3139341658 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | 5302024111 | MI | Pharmacy Service Providers |
| X | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302024111 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851823413 | Kevin White | Social Worker | 370 E 200 S, Nephi, UT 84648-1922 | 2017-04-01 |
| 1679834899 | Kevin White | Dentist | 120 Meridian Way Ste 2, Richmond, KY 40475-2881 | 2012-06-05 |
| 1447329719 | Kevin Patrick White | Dermatology | 3303 Sw Bond Ave # Ch5d, Portland, OR 97239-4501 | 2006-11-08 |
| 1952495921 | Kevin Gary White | Pediatrics | 2601 E Main St Ste 200, Ventura, CA 93003-2893 | 2006-10-03 |
| 1326130048 | Kevin M White | Social Worker | 25 Lincoln Plz, Branchland, WV 25506-9786 | 2006-09-29 |
| 1336251800 | Kevin C. White | Dentist | 1501 Spring Hill Ave, Mobile, AL 36604-3206 | 2006-08-31 |
| 1639137490 | Kevin M. White | Psychiatry & Neurology | 3000 Colby St Ste 202, Berkeley, CA 94705-2058 | 2006-05-02 |
| 1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
| 1316552623 | Kevin Karl White | Case Manager/Care Coordinator | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-09-14 |
| 1598398380 | Kevin Kyle White | Counselor | 6000 S 1075 E, South Ogden, UT 84405-4945 | 2020-02-19 |
| Street Address |
10920 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48204-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699862888 | Grand Value Pharmacy Inc | Pharmacy | 10920 Grand River Ave, Detroit, MI 48204-2052 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| Find all providers in zip 48204 | ||||
| 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 |
|---|---|---|---|---|
| 1366073926 | Peter Shaouni | Pharmacist | 15521 W 7 Mile Rd, Detroit, MI 48235-2927 | 2020-01-31 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1073143384 | Marco Santos | Pharmacist | 6862 Michigan Ave, Detroit, MI 48210-2868 | 2020-01-26 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1376025262 | Maeghan Hensler | Pharmacist | 7800 Outer Dr., Detroit, MI 48235 | 2018-09-06 |
| 1417445719 | Wagdi Abdulla | Pharmacist | 14424 Schaefer Hwy, Detroit, MI 48227-3668 | 2018-04-23 |
| 1528579331 | Mahmoud Srour | Pharmacist | 4100 Woodward Ave Ste Pharmacy, Detroit, MI 48201-2173 | 2017-10-19 |
| 1477073039 | Emalee M Osentoski | Pharmacist | 4100 John R St Ste Hp00sp, Detroit, MI 48201-2013 | 2017-06-26 |
| 1144755588 | Eric Foster | Pharmacist | 11574 Roxbury St, Detroit, MI 48224-1141 | 2017-04-24 |
| 1013440460 | Maqsood Ahmad | Pharmacist | 12170 Conant St Ste E, Detroit, MI 48212-4129 | 2017-04-04 |
| Find all providers in DETROIT | ||||
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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.