Active NPI
Jasmeet Kaur Kooner
- Pharmacist
- Detroit, MI
National Provider Identifier
1700677390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415903
- Practice address
- 4420 E Davison St
Detroit, MI 48212 - Phone
- (248) 397-8677
- NPI assigned
- May 14, 2025
- 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 | 5302415903 | MI | Primary |
Addresses
Primary practice location
4420 E Davison St
Detroit, MI 48212
Mailing address
1137 Frederica Avenue
Windsor, ONTARIO N8P 1V9
CA
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 |
|---|---|---|---|
| 5302415903 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1700677390",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1137 FREDERICA AVENUE",
"city": "WINDSOR",
"state": "ONTARIO",
"postal_code": "N8P 1V9"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 E DAVISON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "48212",
"telephone_number": "248-397-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONER",
"first_name": "JASMEET",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.