Knight Prescription Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301002041 Issued in MI

Legal business name

KNIGHT PRESCRIPTION SERVICES

Practice address

4501 Woodward Ave
Suite 104a
Detroit, MI 48201-1890

Phone

(313) 832-5800

Fax

(313) 832-5802

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

• Knights Detroit Medical Center Pharmacy 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": "1375401600000",
    "number": "1295728095",
    "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": "4501 WOODWARD AVE",
            "address_2": "SUITE 104A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011890",
            "telephone_number": "313-832-5800",
            "fax_number": "313-832-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT PRESCRIPTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-08-02",
        "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": "5301002041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2332738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295728095",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2541037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knights Detroit Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Knight Drugs Greenfield, Inc.
• Knight Drugs West Warren, Inc.
• Knight Drugs West Warren, Inc.
• Knight Drugs, Inc.
• Knight Pharmacies, Inc.
• Knight Prescriptions, LTD
• Aziza Knight, DC
• Jazmine Knight, NURSE
• Joanna Knight
• Kenyatta Mboyo Knight

• 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 2, 2013; 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.