Active NPI
Shahad Kako
- Pharmacist
- Petoskey, MI
National Provider Identifier
1629702113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415333
- Practice address
- 1301 U.S. 31
Petoskey, MI 49770 - Phone
- (231) 348-7510
- NPI assigned
- Jul 12, 2022
- Reactivated
- Aug 9, 2023
- Sex
- Female
- 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 | 5302415333 | MI | Primary |
Addresses
Primary practice location
1301 U.S. 31
Petoskey, MI 49770
Mailing address
37000 Fox Glen Court
Farmington Hills, MI 48331
Phone (248) 727-3426
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 |
|---|---|---|---|
| 5302415333 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Drug Stores Inc and Subsidiaries | Past | Accepting new patients | |
| Perry Drug Stores Inc and Subsidiaries | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bloomfield Hills, MI
- NPI 1043226343
-
- Community/Retail Pharmacy
- Commerce Township, MI
- NPI 1871602391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1629702113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37000 FOX GLEN COURT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48331",
"telephone_number": "248-727-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 U.S. 31",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "49770",
"telephone_number": "231-348-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKO",
"first_name": "SHAHAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"deactivation_date": "2023-07-25",
"reactivation_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.