Organization Active NPI

Kundrat Prescriptions LLC

  • Community/Retail Pharmacy
  • Ann Arbor, MI
National Provider Identifier
1639284664
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009051 Issued in MI
Legal business name
KUNDRAT PRESCRIPTIONS LLC
Doing business as
Wenk's Prescription Shop
Practice address
2355 E Stadium Blvd
Ann Arbor, MI 48104-4800
Phone
(734) 747-8080
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Eileen KundratNPI 1871879668
Title
Owner
Phone
(734) 747-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009051 MI Primary

Addresses

Primary practice location

2355 E Stadium Blvd
Ann Arbor, MI 48104-4800

Mailing address

2355 E Stadium Blvd
Ann Arbor, MI 48104-4800
Phone (734) 747-8080

Other identifiers 1

IdentifierTypeStateIssuer
2312281OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Wenk's Prescription Shop Doing business as

National Provider Directory

National Provider Directory

Locations

2355 E Stadium Blvd
Ann Arbor, MI 48104
Phone (734) 662-3143

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1639284664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044800",
            "telephone_number": "734-747-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044800",
            "telephone_number": "734-747-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNDRAT PRESCRIPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "KUNDRAT",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-747-8080"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2312281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenk's Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.