Knight Pharmacies, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301004774 Issued in MI

Legal business name

KNIGHT PHARMACIES, INC.

Practice address

4059 W Davison
Detroit, MI 48238-3262

Phone

(313) 933-6740

Fax

(313) 933-6741

NPI assigned

Aug 26, 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 Operations

Phone

(248) 540-8066

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1710970504",
    "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": "4059 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383262",
            "telephone_number": "313-933-6740",
            "fax_number": "313-933-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "DEJONGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "248-540-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301004774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2343426",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710970504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knight Drugs East Seven Mile, Inc.
• Knight Drugs Greenfield, Inc.
• Knight Drugs West Warren, Inc.
• Knight Drugs West Warren, Inc.
• Knight Drugs, Inc.
• Knight Prescription Services
• Knight Prescriptions, LTD
• Aziza Knight, DC
• Jazmine Knight, NURSE
• Joanna Knight

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.