Kay Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301001816 Issued in MI

Legal business name

KAY PHARMACY INC.

Doing business as

Kay Pharmacy Inc.

Practice address

2178 Plainfield Ave NE
Grand Rapids, MI 49505-4204

Phone

(616) 361-7319

Fax

(616) 361-0707

NPI assigned

Jul 28, 2005

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael G. Koelzer, R.PH.

Title

President

Phone

(616) 361-7319

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Kay Pharmacy Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon M Ferguson, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1508786898
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1720088156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054204",
            "telephone_number": "616-361-7319",
            "fax_number": "616-361-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054204",
            "telephone_number": "616-361-7319",
            "fax_number": "616-361-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "KOELZER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-361-7319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301001816",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2306389",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958911",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kay Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra M Kausch, RPH
• Pratiik Kaushik
• Mohammad Kawji, MD, CCD
• Emily Kawuki
• Kay Foster Counseling
• Eric Richard Kay
• Sasha Kay, BCBA
• Kayla Pacic Counseling Services, PLLC
• Amanda Kaza, NP
• Bashar Faiez Kazanji, MD

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, 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 Oct 8, 2018; 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.