KLM Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301005809 Issued in MI

Legal business name

KLM PHARMACY, INC.

Doing business as

Knight Drugs Grand River

Practice address

8305 Grand River Ave
Detroit, MI 48204-2231

Phone

(313) 898-2450

Fax

(313) 898-2461

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 Grand River 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": "1255324075",
    "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": "8305 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042231",
            "telephone_number": "313-898-2450",
            "fax_number": "313-898-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM PHARMACY, 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": "5301005809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2350748",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2885083",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255324075",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Drugs Grand River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Ann Klida
• Christopher J Kliethermes, M.D.
• Charles Harry Klimushyn, OT
• Sarah Klingbyle
• Neil Klinger, M.D.
• Chad Louis Klochko, M.D.
• Joshua Klonoski, MD
• Kyle Klooster, MD, DDS
• Jared Tristan Klutke, MD
• KM&M Never Forgotten Homecare

• 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.