KD PHARMACY, INC. (NPI# 1255324059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324059 |
| Entity Type | Organization |
| Organization Name | KD PHARMACY, INC. |
| Other Organization Name | KNIGHT DRUGS GRATIOT |
| Practice Address |
6455 Gratiot Ave Detroit MI 48207-1808 |
| Practice Telephone | 3135714450 |
| Practice Fax Number | 3135714451 |
| Mailing Telephone | 3135714450 |
| Mailing Fax Number | 3135714451 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN D'AGNILLO (PHARMACIST) |
| Authorized Official Telephone | 3135714450 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301005179 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2345507 | 01 |
| MI | 2586600 | 05 |
| Other Name | Type Code |
|---|---|
| Knight Drugs Gratiot | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617912 | Kd Pharmacy, Inc. | Pharmacy | 3130 Gratiot Ave, Detroit, MI 48207-2283 | 2005-08-26 |
| 1568455368 | Kd Pharmacy, Inc. | Pharmacy | 13820 Woodward Ave, Highland Park, MI 48203-3653 | 2005-08-26 |
| Street Address |
6455 GRATIOT AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174040026 | Detroit Pharmacy LLC | Pharmacy | 6455 Gratiot Ave, Detroit, MI 48207-1808 | 2017-08-22 |
| 1053610618 | Fitness Physical Therapy LLC | Clinic/Center | 6455 Gratiot Ave, Detroit, MI 48207-1808 | 2011-03-22 |
| 1114999430 | Latisha M Malcom | Internal Medicine | 6455 Gratiot Ave, Detroit, MI 48207-1808 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1992295422 | Victory Pharmacy 2 Pllc | Pharmacy | 14601 W 8 Mile Rd, Detroit, MI 48235-1621 | 2018-05-10 |
| 1578050712 | Genoa Healthcare, LLC | Pharmacy | 19750 Burt Rd Ste P, Detroit, MI 48219-2078 | 2018-04-13 |
| 1689177388 | Grace Care Pharmacy LLC | Pharmacy | 19150 Telegraph Rd, Detroit, MI 48219-1623 | 2018-03-09 |
| 1013426162 | Grand Mercy Pharmacy | Pharmacy | 18428 Grand River Ave, Detroit, MI 48223-2317 | 2017-09-20 |
| 1609310937 | New Seven Mile Pharmacy LLC | Pharmacy | 14400 Gratiot Ave, Detroit, MI 48205-2307 | 2016-12-06 |
| 1740631167 | Safari Drugs Pharmacy LLC | Pharmacy | 17100 W 7 Mile Rd, Detroit, MI 48235-3023 | 2016-06-27 |
| 1740648203 | Save-mart Pharmacy Inc | Pharmacy | 18330 W Chicago St, Detroit, MI 48228-1839 | 2016-01-29 |
| 1922463686 | Fidmarc Express Pharmacy Pllc | Pharmacy | 21737 W 8 Mile Rd Ste A, Detroit, MI 48219-4430 | 2015-12-23 |
| 1619346137 | Genoa Healthcare, LLC | Pharmacy | 15400 W Mcnichols Rd Ste 500, Detroit, MI 48235-3724 | 2015-09-15 |
| Find all providers in DETROIT | ||||
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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.