MR. CLYDE KENNETH GODIN JR.
NPI 1477561157
Pharmacist in Detroit, MI

Active since August 04, 2006
4646 JOHN R ST, DETROIT, MI 48201(313) 576-3386 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Clyde Kenneth Godin Jr. NPPES

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

MR. CLYDE KENNETH GODIN JR. (NPI 1477561157) is an individual pharmacist in Detroit, Michigan, licensed in Michigan (5302022397) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477561157
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. CLYDE KENNETH GODIN JR.
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address47000 Glenhurst DrCanton, MI 48187-4708 · (734) 451-0350
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477561157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302022397
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.

4646 JOHN R ST, Detroit, MI 48201

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, VAMC
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4646 JOHN R ST
DETROIT, MI 48201
Psychiatry & Neurology (Geriatric Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Family)
4646 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Adult Health)
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, JOHN D DINGELL VA MEDICAL CENTER
DETROIT, MI 48201
Audiologist
4646 JOHN R ST, AUDIOLOGY (11G-AS) VA MED CTR
DETROIT, MI 48201
Nurse Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, 11PC, PRIMARY CARE,JOHN D. DINGELL VA MEDICAL CENTER,
DETROIT, MI 48201
Nurse Practitioner (Adult Health)
4646 JOHN R ST
DETROIT, MI 48201
Physical Therapist
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine (Geriatric Medicine)
4646 JOHN R ST, 11G
DETROIT, MI 48201
Occupational Therapist
4646 JOHN R ST
DETROIT, MI 48201
Physical Therapist
4646 JOHN R ST
DETROIT, MI 48201
Optometrist
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST
DETROIT, MI 48201
Pathology (Anatomic Pathology & Clinical Pathology)
4646 JOHN R ST
DETROIT, MI 48201
Speech-Language Pathologist
4646 JOHN R ST
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477561157, enumerated as an "individual" on August 04, 2006.

The provider is located at 4646 JOHN R ST DETROIT, MI 48201 and the phone number is (313) 576-3386.

Pharmacist with taxonomy code 183500000X.