Knab Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301000965 Issued in MI

Legal business name

KNAB PHARMACY INC

Practice address

330 S Main St
Plymouth, MI 48170-1604

Phone

(734) 453-4848

Fax

(734) 453-4090

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. D D Knab, PHARMACIST

Title

President

Phone

(734) 453-4848

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• wiltse's community pharmacy Doing business as

Locations

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1497757355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701604",
            "telephone_number": "734-453-4848",
            "fax_number": "734-453-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701604",
            "telephone_number": "734-453-4848",
            "fax_number": "734-453-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "KNAB",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-453-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310643",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wiltse's community pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Klausmeier
• Amanda Jo Klingensmith, PH.D.
• Cara Klonowski
• Bradley Klumpp
• Brianna Paige Klunder
• Kelsey M Knie, DPT
• Juliann Knochel
• Donald Koch
• Kelsey Kocherla
• Aleksandra Kocz, PA-C

• Community/Retail Pharmacy in Plymouth, MI
• Providers in Plymouth, 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 Dec 21, 2015; 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.