Kakish Plarmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003631 Issued in MI

Legal business name

KAKISH PLARMACY INC.

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 582-0100

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Jamal S Kakish

Title

President

Phone

(313) 582-0100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679614044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKISH PLARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAKISH",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-582-0100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2541171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibtisam Kaid
• Iqeed Kaid
• Yasser Kaid
• Rita Teresa Kainaya, LMSW
• Kristine Kaiser, MD
• Evonne Marie Kakos, DR
• Kathleen Mary Kalil, PH.D, LP
• Danny Kalis
• Kalmus Podiatry PLLC
• Melina C Kaltak, D.O.

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Aug 22, 2020; 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.