MR. KENNETH WAYNE VIS RPH
NPI 1154402196
Pharmacist in Grand Haven, MI

Active since October 18, 2006
1125 WASHINGTON AVE, GRAND HAVEN, MI 49417(616) 842-4360(616) 842-9590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth Wayne Vis Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH WAYNE VIS RPH (NPI 1154402196) is an individual pharmacist in Grand Haven, Michigan, licensed in Michigan (5302411182) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154402196
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH WAYNE VISCredential: RPH
Location Address1125 WASHINGTON AVEGrand Haven, MI 49417-1625
Mailing Address13670 Cleveland AveNunica, MI 49448-9661 · (616) 842-3754
Fax(616) 842-9590
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154402196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302411182
Definition
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.
1125 WASHINGTON AVE, Grand Haven, MI 49417

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1125 WASHINGTON AVE
GRAND HAVEN, MI 49417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vis's NPI number?

The NPI number for Kenneth Vis is 1154402196. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Kenneth Vis located?

Kenneth Vis practices at 1125 Washington Ave, Grand Haven, MI 49417. The listed phone number is (616) 842-4360.

What is Kenneth Vis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Vis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.