Active NPI
Nicholas Kallabat, PHARMD, RPH
- Pharmacist
- Farmington Hills, MI
National Provider Identifier
1275470973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302418758
- Practice address
- 32395 Northwestern Hwy
Farmington Hills, MI 48334-1535 - Phone
- (248) 973-2019
- NPI assigned
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302418758 | MI | Primary |
Addresses
Primary practice location
32395 Northwestern Hwy
Farmington Hills, MI 48334-1535
Mailing address
25322 W Warren St
Dearborn Heights, MI 48127-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302418758 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1275470973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25322 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32395 NORTHWESTERN HWY",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341535",
"telephone_number": "248-973-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLABAT",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-30",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302418758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.