K & P Optimum Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009156 Issued in MI

Legal business name

K & P OPTIMUM INC

Doing business as

East Michigan Pharmacy

Practice address

4250 N Saginaw St
Suite D
Flint, MI 48505-5332

Phone

(810) 785-0363

Fax

(810) 785-0381

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Kaushal Patel, RPH

Title

Owner / Pharmacist

Phone

(810) 429-6834

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East Michigan Pharmacy Doing business as

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1750512190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N SAGINAW ST",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-785-0363",
            "fax_number": "810-785-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N SAGINAW ST",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-785-0363",
            "fax_number": "810-785-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & P OPTIMUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "810-429-6834",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009156",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Michigan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Apr 30, 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.