Active NPI
Smitkumar Kadakia
- Pharmacist
- Sterling Heights, MI
National Provider Identifier
1568747079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036220
- Practice address
- 13901 Metropolitan Pkwy
Sterling Heights, MI 48312-3401 - Phone
- (586) 446-8770
- NPI assigned
- Oct 15, 2011
- Last updated
- Dec 21, 2022
- 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 | 5302036220 | MI | Primary |
Addresses
Primary practice location
13901 Metropolitan Pkwy
Sterling Heights, MI 48312-3401
Mailing address
22950 Van Dyke Ave
Warren, MI 48089-2346
Phone (586) 759-1391
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 |
|---|---|---|---|
| 5302036220 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1568747079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22950 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892346",
"telephone_number": "586-759-1391",
"fax_number": "586-759-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13901 METROPOLITAN PKWY",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483123401",
"telephone_number": "586-446-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAKIA",
"first_name": "SMITKUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.