Organization Active NPI

R K Pharmacy Inc

  • Community/Retail Pharmacy
  • Westland, MI
National Provider Identifier
1194253195
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011186 Issued in MI
Legal business name
R K PHARMACY INC
Practice address
181 N Wayne Rd
Westland, MI 48185-3624
Phone
(734) 589-0400
Fax
(734) 329-5460
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Khodr M Bazzi, PHARMACISTNPI 1144540758
Title
Pharmacy Owner/Pharmacist in Charge
Phone
(313) 414-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011186 MI Primary

Addresses

Primary practice location

181 N Wayne Rd
Westland, MI 48185-3624

Mailing address

181 N Wayne Rd
Westland, MI 48185-3624
Phone (734) 589-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204002310 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1557772027 Practice locations: Westland, MI

National Provider Directory

National Provider Directory

Locations

181 N Wayne Rd
Westland, MI 48185
Phone (734) 589-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194253195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853624",
            "telephone_number": "734-589-0400",
            "fax_number": "734-329-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853624",
            "telephone_number": "734-589-0400",
            "fax_number": "734-329-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R K PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "KHODR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACY OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "313-414-5507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.