Kings Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007784 Issued in MI

Legal business name

KINGS PHARMACY LLC

Doing business as

Kings Pharmacy

Practice address

4700 Schaefer Rd Ste 162
Dearborn, MI 48126-3655

Phone

(313) 584-7800

Fax

(313) 584-7833

NPI assigned

Jun 8, 2006

Last updated

Mar 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akram Obeid, RPHNPI 1790253177

Title

President

Phone

(313) 584-7800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KINGS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Akram Obeid

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Dearborn, MI
  • NPI 1790253177
  NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1093755746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD",
            "address_2": "STE 162",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263655",
            "telephone_number": "313-584-7800",
            "fax_number": "313-584-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD STE 162",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263655",
            "telephone_number": "313-584-7800",
            "fax_number": "313-584-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-584-7800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4569879",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercedes King
• Sheneka King
• Tamya Brianna King
• Yvonne M King, LPC
• Zachary King, PA-C
• Alexis Kingsley
• Marjorie Elizabeth Kinnard
• Bhagya Laxmi Kinthali, PT
• Rachel Kirby, AUD
• Syeda A Kirmani, SLP

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.