Kingsway Medical Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008548 Issued in MI

Legal business name

KINGSWAY MEDICAL PHARMACY

Doing business as

Kingsway Medical Pharmacy

Practice address

1675 Kingsway CT
Trenton, MI 48183-1958

Phone

(734) 493-3127

Fax

(734) 493-3128

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Hussien Hachouche, RPH

Title

Pic

Phone

(313) 641-6483

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KINGSWAY MEDICAL PHARMACY Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1023179843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-493-3127",
            "fax_number": "734-493-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-493-3127",
            "fax_number": "734-493-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HACHOUCHE",
        "authorized_official_first_name": "HUSSIEN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-641-6483",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSWAY MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Aaron Kaufman, D.O.
• Elizabeth Keck, RD
• Rachel Dianne Kern, LLP
• Moiz Khalid, DPM
• Scarlet Lynn Khan
• Kevin Thomas Kirkland, D.D.S.
• Jeremiah Kissel, DPT
• John Klavanian, D.O.
• Joseph Kleber, M.D.
• Joseph Mark Klosterman Jr., D.O.

• Community/Retail Pharmacy in Trenton, MI
• Providers in Trenton, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.