KD Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301005179 Issued in MI

Legal business name

KD PHARMACY, INC.

Doing business as

Knight Drugs Gratiot

Practice address

6455 Gratiot Ave
Detroit, MI 48207-1808

Phone

(313) 571-4450

Fax

(313) 571-4451

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 D'Agnillo, R.PH.

Title

Pharmacist

Phone

(313) 571-4450

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Knight Drugs Gratiot 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": "1598054400000",
    "number": "1255324059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071808",
            "telephone_number": "313-571-4450",
            "fax_number": "313-571-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071808",
            "telephone_number": "313-571-4450",
            "fax_number": "313-571-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'AGNILLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-571-4450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301005179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2345507",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Drugs Gratiot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ali Rashed Kazmi
• Narjis Seyyed Kazmi, M.D
• Roshni S Kazmi
• Sara Renee Kazyak, MD, MS
• KD Pharmacy, Inc.
• Brent Keaner, D.O.
• Michaela Emily Kearney, MD
• Phyllis E Kearney, MA, LLPC
• Katie Marie Kearns
• Delores L Kearse

• 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 Aug 22, 2020; 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.