KALLIE ANN JENSEN (NPI# 1770705535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705535 |
| Entity Type | Individual |
| Full Name | KALLIE ANN JENSEN |
| Credential | RPH |
| Practice Address |
1471 Grace Street Se Grand Rapids MI 49506 |
| Mailing Address |
6971 9 Mile Rd Ne Rockford MI 49341-9633 |
| Practice Telephone | 6169132007 |
| Mailing Telephone | 6166900050 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302024237 | MI | Pharmacy Service Providers |
| Street Address |
1471 GRACE STREET SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679622369 | Care Resources | Clinic/Center | 1471 Grace Street Se, Grand Rapids, MI 49506-1678 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1164031860 | Jerika Nguyen | Pharmacist | 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 | 2020-07-28 |
| 1063045177 | Kristen Buthker | Pharmacist | 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 | 2020-02-17 |
| 1124667258 | Grant Lawson Beach | Pharmacist | 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 | 2020-01-07 |
| 1821562844 | Catherine Formalejo Padogdog | Pharmacist | 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 | 2019-01-12 |
| 1386151660 | Brett Donald Jenkins | Pharmacist | 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 | 2018-01-08 |
| 1326568296 | Sarah Ann Kauffman | Pharmacist | 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 | 2017-06-22 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1235585456 | Kirsten Hayes | Pharmacist | 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 | 2016-05-06 |
| 1740649201 | Robert Matthew Granett | Pharmacist | 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 | 2016-02-12 |
| 1386000420 | Samantha Shifman | Pharmacist | 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 | 2016-01-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on KALLIE ANN JENSEN.
| 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.