MR. KENNETH LYLE NEWMAN (NPI# 1679857718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679857718 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LYLE NEWMAN |
| Credential | RPH |
| Practice Address |
4445 Ivanrest Ave Sw Grandville MI 49418-3150 |
| Practice Telephone | 6165321065 |
| Mailing Telephone | 6165321065 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302028356 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780703207 | Kenneth Newman | Dentist | 1489 Seamans Neck Rd, Seaford, NY 11783-1849 | 2007-03-28 |
| 1881870053 | Kenneth E Newman | Speech-Language Pathologist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2008-01-17 |
| 1730114109 | Kenneth A Newman | Emergency Medicine | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-07-12 |
| 1609868355 | Kenneth Newman | Anesthesiology | 160 East Main Street, Anesthesia Dept, Port Jervis, NY 12771-2253 | 2005-08-18 |
| Street Address |
4445 IVANREST AVE SW |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186653 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4445 Ivanrest Ave Sw, Grandville, MI 49418-3150 | 2006-08-02 |
| 1770827750 | Ashely Mikita | Pharmacist | 4445 Ivanrest Ave Sw, Grandville, MI 49418-3150 | 2012-11-15 |
| 1912289109 | Troy Michael Klairter | Pharmacist | 4445 Ivanrest Ave Sw, Grandville, MI 49418-3150 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| 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 |
|---|---|---|---|---|
| 1871190850 | Michael Scott Brownlie | Pharmacist | 2655 Grand Castle Blvd Sw Apt E718, Grandville, MI 49418-1577 | 2020-10-03 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1609299189 | Andy Mai | Pharmacist | 4462 Grand Ridge Ct Sw, Grandville, MI 49418-8332 | 2014-02-03 |
| 1164853768 | Sarah L Wisniewski | Pharmacist | 3434 Century Center Dr, Pharmacy, Grandville, MI 49418 | 2013-12-06 |
| 1356475271 | Anton T Sheridan | Pharmacist | 2839 Shady Oaks Dr Sw, Grandville, MI 49418-2059 | 2007-03-15 |
| 1184695876 | Patrick Lee Bush | Pharmacist | 3690 44th St Sw, Grandville, MI 49418-2414 | 2006-01-30 |
| 1427038041 | James Edward Clarey | Pharmacist | 3960 44th St Sw, Grandville, MI 49418-2420 | 2006-01-19 |
| 1255931564 | Leeanne Wirt | Pharmacist | 4542 Kenowa Ave Sw, Grandville, MI 49418-9523 | 2020-10-27 |
| 1710587035 | Deborah Lynne Kleinbrook | Pharmacist | 4542 Kenowa Ave Sw, Grandville, MI 49418-9523 | 2020-10-27 |
| 1730634429 | Timothy Edward Broekhuizen | Pharmacist | 4542 Kenowa Ave Sw, Grandville, MI 49418-9523 | 2016-08-23 |
| Find all providers in GRANDVILLE | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
Please comment or provide details below to improve the information on MR. KENNETH LYLE NEWMAN.
| 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.