Knight Drugs Chesaning LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301007401 Issued in MI

Legal business name

KNIGHT DRUGS CHESANING LLC

Practice address

129-133 W Broad St
Chesaning, MI 48616-1202

Phone

(989) 845-2050

Fax

(989) 845-4320

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Dejongh

Title

President of Operation

Phone

(248) 540-8066

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Rexall Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1699768358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 INDUSTRIAL ROW DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847035",
            "telephone_number": "248-540-8066",
            "fax_number": "248-540-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129-133 W BROAD ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161202",
            "telephone_number": "989-845-2050",
            "fax_number": "989-845-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT DRUGS CHESANING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "DEJONGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATION",
        "authorized_official_telephone_number": "248-540-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362743",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699768358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2362743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Rexall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg Joseph Jenkinson, PHARMD
• Makaylee Kanouse
• McKenna Kelley, CTRS
• Nicole Kerkau
• Alexa Mae Klumpp, FNP
• Carlie Kolb
• Sarah Marie Kroll
• Kelsey Kunik, RDN
• Taylor Labine
• Laina Glaser

• Pharmacy in Chesaning, MI
• Providers in Chesaning, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.