KENZIE SHAY ELLICOTT PHARMD
NPI 1477281830
Pharmacist in Newaygo, MI

Active since August 12, 2022
226 W RIVER VALLEY DR, NEWAYGO, MI 49337(231) 652-6914(231) 652-2650 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Aug 23, 2022, Aug 12, 2022 (3 updates tracked since 2022).

About Kenzie Shay Ellicott Pharmd NPPES

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

KENZIE SHAY ELLICOTT PHARMD (NPI 1477281830) is an individual pharmacist in Newaygo, Michigan, licensed in Michigan (5302414374) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1477281830
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKENZIE SHAY ELLICOTTCredential: PHARMD
Location Address226 W RIVER VALLEY DRNewaygo, MI 49337-8972
Mailing Address162 E 56th StNewaygo, MI 49337-9048
Fax(231) 652-2650
Sole ProprietorNo
Enumeration DateAugust 12, 2022
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1477281830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302414374
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.
226 W RIVER VALLEY DR, Newaygo, MI 49337

Other Names 1

Former Name (1)Kenzie Shay Tyink

Other Providers at the Same Location NPPES 2

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

Pharmacist
226 W RIVER VALLEY DR
NEWAYGO, MI 49337
Pharmacy (Community/Retail Pharmacy)
226 W RIVER VALLEY DR
NEWAYGO, MI 49337

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 Kenzie Ellicott's NPI number?

The NPI number for Kenzie Ellicott is 1477281830. It was assigned to this individual provider in the NPPES registry on August 12, 2022. The provider is also known as Kenzie Shay Tyink.

Where is Kenzie Ellicott located?

Kenzie Ellicott practices at 226 W River Valley Dr, Newaygo, MI 49337. The listed phone number is (231) 652-6914.

What is Kenzie Ellicott'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 Kenzie Ellicott was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.