Organization Active NPI

K & D Pharmacy

Doing business as Clarkston Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Clarkston, MI
National Provider Identifier
1447247945
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
K & D PHARMACY
Doing business as
Clarkston Pharmacy
Practice address
5838 S Main St
Clarkston, MI 48346-2963
Phone
(248) 625-8030
Fax
(248) 625-9207
NPI assigned
Sep 30, 2005
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
K & D PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Kathleen M Hannah, RPHNPI 1740806298
Title
President
Phone
(248) 625-8030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5838 S Main St
Clarkston, MI 48346-2963

Mailing address

5838 S Main St
Clarkston, MI 48346-2963
Phone (248) 625-8030

Other identifiers 2

IdentifierTypeStateIssuer
ON54000OtherMEDICARE PART B
2327496MedicaidMI

Other names 1

  • Clarkston Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Clarkston Pharmacy

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1447247945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462963",
            "telephone_number": "248-625-8030",
            "fax_number": "248-625-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462963",
            "telephone_number": "248-625-8030",
            "fax_number": "248-625-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & D PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K & D PHARMACY",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-625-8030",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "ON54000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.