MEDICARE: MR. KEVIN CHARLES WHITE R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302024111	MI
2	1835P1200X	Pharmacotherapy Pharmacist	5302024111	MI

General Provider Information

NPI Number	:	1285768341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN CHARLES WHITE R.PH.

Provider Business Mailing Address
First Line	:	4579 LEHIGH DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-4406
Country	:	US
Telephone Number	:	313-320-5200
Fax Number	:	313-934-1658

Provider Business Practice Location Address
First Line	:	10920 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2052
Country	:	US
Telephone Number	:	313-931-0010
Fax Number	:	313-934-1658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1699862888 — GRAND VALUE PHARMACY INC
Practice Location Address:

10920 GRAND RIVER AVE
DETROIT, MI
48204-2052

Practice Phone: 313-931-0010
Practice Fax: 313-934-1658

1295214062 — CATRINA MESHELL LEE-JACKSON
Practice Location Address:

15227 ROSSINI DR
DETROIT, MI
48205-2052

Practice Phone: 313-627-8455
Practice Fax:

1043167620 — G O D MANAGEMENT LLC - GENERATING OPPORTUNITIES DAILY
Practice Location Address:

7500 TIREMAN AVE , BLDG G
DETROIT, MI
48204-3465

Practice Phone: 810-830-4653
Practice Fax:

1346866480 — VANESSA TEAL LANDRUM CNM
Practice Location Address:

8575 HERITAGE PL
DETROIT, MI
48204-2326

Practice Phone: 313-919-5965
Practice Fax:

1144860552 — MR. ALLEN HUGH WARRICK III CADC-SST
Practice Location Address:

9605 GRAND RIVER AVE # A
DETROIT, MI
48204-2139

Practice Phone: 313-834-5930
Practice Fax:

1316372980 — SARAH KIRONDE N.P.
Practice Location Address:

5003 FERNWOOD
DETROIT, MI
48204

Practice Phone: 313-378-9567
Practice Fax: 248-970-8501

Directions to “ MR. KEVIN CHARLES WHITE R.PH.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.