Active NPI
Justin John Kajy
- Pharmacist
- Pontiac, MI
National Provider Identifier
1477161933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412731
- Practice address
- 263 Auburn Ave
Pontiac, MI 48342-3012 - Phone
- (248) 289-1376
- NPI assigned
- Jul 20, 2020
- Last updated
- Aug 23, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 5302412731 | MI | Primary |
Addresses
Primary practice location
263 Auburn Ave
Pontiac, MI 48342-3012
Mailing address
263 Auburn Ave
Pontiac, MI 48342-3012
Phone (248) 289-1376
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412731 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester RX, LLC | Current | Accepting new patients | |
| Ritemed RX, LLC | Current | Accepting new patients |
Locations
263 Auburn Ave
Pontiac, MI 48342
Phone (248) 289-1376
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1477161933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 AUBURN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483423012",
"telephone_number": "248-289-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 AUBURN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483423012",
"telephone_number": "248-289-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAJY",
"first_name": "JUSTIN",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.