Knight Drugs East Seven Mile, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301007146 Issued in MI

Legal business name

KNIGHT DRUGS EAST SEVEN MILE, INC.

Practice address

14071 E 7 Mile Rd
Detroit, MI 48205-2335

Phone

(313) 839-9545

Fax

(313) 839-9546

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Dejongh

Title

President of Operations

Phone

(248) 540-8066

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Knight Drugs Seven Mile Doing business as

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1104819937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 INDUSTRIAL ROW DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847035",
            "telephone_number": "248-540-8066",
            "fax_number": "248-540-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052335",
            "telephone_number": "313-839-9545",
            "fax_number": "313-839-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT DRUGS EAST SEVEN MILE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "DEJONGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "248-540-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4180963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2360989",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104819937",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Drugs Seven Mile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy P Knapman, M.D.
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• Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.