Organization Active NPI

Kings Medical Pharmacy

  • Community/Retail Pharmacy
  • Pontiac, MI
National Provider Identifier
1699362723
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KINGS MEDICAL PHARMACY
Doing business as
KINGS MEDICAL PHARMACY
Practice address
681 University Dr
Pontiac, MI 48342-1758
Phone
(313) 888-2212
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Abdulsalam AlkadhyNPI 1154918282
Title
Owner
Phone
(313) 888-2212

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 Primary

Addresses

Primary practice location

681 University Dr
Pontiac, MI 48342-1758

Mailing address

1529 Ferney St # 1
Dearborn, MI 48120-1711
Phone (313) 888-2212

Other names 1

  • KINGS MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

687 University Dr
Pontiac, MI 48342
Phone (313) 888-2212

681 University Dr
Pontiac, MI 48342
Phone (313) 888-2212

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": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1699362723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 FERNEY ST # 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201711",
            "telephone_number": "313-888-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 UNIVERSITY DR",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421758",
            "telephone_number": "313-888-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "ALKADHY",
        "authorized_official_first_name": "ABDULSALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-888-2212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINGS MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.