Active NPI
Bormans Inc
Doing business as Farmer Jack Pharmacy
- Community/Retail Pharmacy
- Mount Clemens, MI
National Provider Identifier
1811912470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BORMANS INC
- Doing business as
- Farmer Jack Pharmacy
- Practice address
- 50 N Groesbeck Hwy
Mount Clemens, MI 48043-5427 - Phone
- (586) 463-2180
- Fax
- (586) 463-4507
- NPI assigned
- Jul 13, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Kijowski
- Title
- Pharmacy Specialist
- Phone
- (201) 571-8326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5301006739 | MI | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
50 N Groesbeck Hwy
Mount Clemens, MI 48043-5427
Mailing address
50 N Groesbeck Hwy
Mount Clemens, MI 48043-5427
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3443943 | Medicaid | MI | |
| 2358011 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- FARMER JACK PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Bormans Inc
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
50 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 463-2180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1811912470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N GROESBECK HWY",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N GROESBECK HWY",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435427",
"telephone_number": "586-463-2180",
"fax_number": "586-463-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORMANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KIJOWSKI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PHARMACY SPECIALIST",
"authorized_official_telephone_number": "201-571-8326"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MI",
"license": "5301006739",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3443943",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2358011",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FARMER JACK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.