King Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011091 Issued in MI

Legal business name

KING CARE PHARMACY LLC

Doing business as

your pharmacy

Practice address

713 N Waverly Rd
Lansing, MI 48917-2242

Phone

(517) 253-7512

Fax

(517) 253-7514

NPI assigned

Jan 20, 2017

Last updated

Jul 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Masood Maghsoodi, R.PH.NPI 1154611580

Title

Owner/Pharmacist

Phone

(517) 614-1207

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• your pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Masood Maghsoodi

  • Pharmacist
  • Lansing, MI
  • NPI 1154611580
  NPD Authorized official

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1306383005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172242",
            "telephone_number": "517-253-7512",
            "fax_number": "517-253-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172242",
            "telephone_number": "517-253-7512",
            "fax_number": "517-253-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "MAGHSOODI",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "517-614-1207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306383005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "your pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Velora Kimball, PA-C
• Shaquila Kimbrough, LLMSW
• Kind Horizons
• Ajhane' Kindle, LLMSW
• Kinection Physical Therapy and Wellness Center
• Amanda Gaye King, RPSGT
• Artimese King
• Chase King, SWT
• Jeanne King
• Kimberly Kay King, NP

• Community/Retail Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.