Organization Active NPI

DKB Drugs, Inc.

  • Community/Retail Pharmacy
  • Clinton Township, MI
National Provider Identifier
1003296542
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011166 Issued in MI
Legal business name
DKB DRUGS, INC.
Practice address
42621 Garfield Rd
Suite 101a
Clinton Township, MI 48038-5031
Phone
(586) 213-1386
Fax
(586) 213-1397
NPI assigned
May 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daxesh V Patel, RPH
Title
Pharmacist in Charge, President
Phone
(586) 213-1386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011166 MI Primary
Specialty Pharmacy 3336S0011X 5301011166 MI

Addresses

Primary practice location

42621 Garfield Rd
Suite 101a
Clinton Township, MI 48038-5031

Mailing address

42621 Garfield Rd
Suite 101a
Clinton Township, MI 48038-5031
Phone (586) 213-1386

Other identifiers 2

IdentifierTypeStateIssuer
1003296542MedicaidMI
2152515OtherPK

Other names 1

  • St George HM Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1003296542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD",
            "address_2": "SUITE 101A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "586-213-1386",
            "fax_number": "586-213-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD",
            "address_2": "SUITE 101A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "586-213-1386",
            "fax_number": "586-213-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKB DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-30",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DAXESH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE, PRESIDENT",
        "authorized_official_telephone_number": "586-213-1386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011166",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5301011166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003296542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St George HM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.