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DR. KHIANA KEREN WILLIS PHARMD
NPI 1720311319
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Detroit, MI

Active since September 14, 2009
4646 JOHN R ST, DETROIT VAMC OUTPATIENT PHARMACY, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Khiana Keren Willis Pharmd NPPES

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

DR. KHIANA KEREN WILLIS PHARMD (NPI 1720311319) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Detroit, Michigan, licensed in Michigan (5302040102) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1720311319
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. KHIANA KEREN WILLISCredential: PHARMD
Location Address4646 JOHN R ST, DETROIT VAMC OUTPATIENT PHARMACYDetroit, MI 48201-1916
Mailing Address25711 LyndonRedford, MI 48239-3340 · (313) 587-5755
Phone(313) 576-1000
Sole ProprietorYes
Enumeration DateSeptember 14, 2009
Last NPPES UpdateNovember 14, 2012
✔ NPI 1720311319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MI · 5302040102
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 19394 (MD)
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

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

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Khiana Willis's NPI number?

The NPI number for Khiana Willis is 1720311319. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Khiana Willis located?

Khiana Willis practices at 4646 John R St Detroit Vamc Outpatient Pharmacy, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Khiana Willis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Khiana Willis was last updated on November 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.