KNIGHT DRUGS WEST WARREN, INC. (NPI# 1962495796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962495796 |
| Entity Type | Organization |
| Organization Name | KNIGHT DRUGS WEST WARREN, INC. |
| Other Organization Name | KNIGHT DRUGS MCNICHOLS |
| Practice Address |
4321 E Mcnichols Rd Detroit MI 48212-1720 |
| Mailing Address |
2520 Industrial Row Dr Troy MI 48084-7035 |
| Practice Telephone | 3133694399 |
| Practice Fax Number | 3136068489 |
| Mailing Telephone | 2485408066 |
| Mailing Fax Number | 2485400112 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | MR. JOHN DEJONGH (PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 2485408066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301006762 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2358100 | 01 |
| MI | NPI | 1962495796 | 01 |
| MI | 3454310 | 05 |
| Other Name | Type Code |
|---|---|
| Knight Drugs McNichols | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697710 | Knight Drugs West Warren, Inc. | Pharmacy | 1131 W Warren Ave, Detroit, MI 48201-3601 | 2005-08-26 |
| Street Address |
4321 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491966 | Sydney Caitlan Edmundson | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2020-09-14 |
| 1184136889 | Mcnichols Rx LLC | Pharmacy | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2017-11-02 |
| 1649722901 | Jennifer Lewis | Nurse's Aide | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-11-02 |
| 1710437595 | Delores L Kearse | Technician, Other | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-10-05 |
| 1700336575 | Aline Gadson | Technician, Other | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-10-05 |
| 1962832675 | Jennifer J Gee | Social Worker | 4321 E Mcnichols Rd, Detroit, Detroit, MI 48212-1720 | 2013-11-15 |
| 1457602500 | Terrilynne Gause | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2012-09-28 |
| 1598930521 | Pallavi Munikrishna | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2008-04-30 |
| 1316154156 | Nitin M. Rajhans | Psychiatry & Neurology | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| 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.