KINGSWAY MEDICAL PHARMACY (NPI# 1023179843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023179843 |
| Entity Type | Organization |
| Organization Name | KINGSWAY MEDICAL PHARMACY |
| Other Organization Name | KINGSWAY MEDICAL PHARMACY |
| Practice Address |
1675 Kingsway Ct Trenton MI 48183-1958 |
| Practice Telephone | 7344933127 |
| Practice Fax Number | 7344933128 |
| Mailing Telephone | 7344933127 |
| Mailing Fax Number | 7344933128 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | HUSSIEN HACHOUCHE (PIC) |
| Authorized Official Telephone | 3136416483 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008548 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2369177 | 05 | |
| PK | 2042541 | 01 |
| Other Name | Type Code |
|---|---|
| KINGSWAY MEDICAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
1675 KINGSWAY CT |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568499655 | Suresh Kumar | Internal Medicine | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2006-06-26 |
| 1043753502 | Staci Damiani | Nurse Practitioner | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2016-11-30 |
| 1932270584 | Trenton Total Health Care Center PC | Internal Medicine | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2006-11-13 |
| 1295840734 | Kajoor Sudhakara | Internal Medicine | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2006-08-21 |
| 1720094410 | Wissam H Fawaz | Pharmacist | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479577 | Aml Ibrahim Fawzy | Pharmacy | 2108 S Broad St, Trenton, NJ 08610-5502 | 2019-04-19 |
| 1891277711 | Glendale Village Pharmacy, LLC | Pharmacy | 334 S Broad St, Trenton, NJ 08608-2502 | 2018-09-06 |
| 1215447149 | Ridha Ahmed | Pharmacy | 635 S Clinton Ave Ste 400, Trenton, NJ 08611-1831 | 2017-10-05 |
| 1790140192 | Sg Health | Pharmacy | 503 S Olden Ave, Trenton, NJ 08629-2102 | 2015-12-29 |
| 1619385622 | Zoobeedu, Inc | Pharmacy | 359 Pennington Ave, Trenton, NJ 08618-3615 | 2014-07-23 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1609211689 | Kaplan Group LLC | Pharmacy | 828 N Olden Ave, Trenton, NJ 08638-4902 | 2013-05-06 |
| 1124348305 | Smash Medicine LLC | Pharmacy | 836 Martin Luther King Jr Blvd, Trenton, NJ 08638-4002 | 2010-06-10 |
| 1215163050 | Kaplan Group LLC | Pharmacy | 521 S Broad St, Trenton, NJ 08611-1819 | 2009-06-08 |
| 1962681858 | Saker Shoprites Inc | Pharmacy | 1225 Highway 33, Trenton, NJ 08690-2713 | 2007-10-29 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.