Organization Active NPI

Kaycee Michone LLC

  • Community/Retail Pharmacy
  • Clinton Township, MI
National Provider Identifier
1609317064
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KAYCEE MICHONE LLC
Practice address
40820 Garfield Rd
Clinton Township, MI 48038-2535
Phone
(586) 566-9400
Fax
(586) 566-9401
NPI assigned
Mar 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Chirag Modi
Title
Owner
Phone
(734) 377-2584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301009548 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

40820 Garfield Rd
Clinton Township, MI 48038-2535

Mailing address

40820 Garfield Rd
Clinton Township, MI 48038-2535
Phone (586) 566-9400

Other identifiers 1

IdentifierTypeStateIssuer
2168197OtherPK

Other names 1

  • Elite Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40820 Garfield Rd
Clinton Township, MI 48038
Phone (586) 566-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1609317064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40820 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382535",
            "telephone_number": "586-566-9400",
            "fax_number": "586-566-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40820 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382535",
            "telephone_number": "586-566-9400",
            "fax_number": "586-566-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYCEE MICHONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-377-2584"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009548",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.