KC Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KC PHARMA LLC

Practice address

37672 Professional Center Dr Ste 130B
Livonia, MI 48154-1140

Phone

(734) 432-2015

Fax

(734) 432-2016

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Khalil Chahine, PHARMD

Title

Phamacist in Charge

Phone

(734) 432-2015

Specialties & licenses 1

Addresses

Other names 1

• Ray's Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

KC Pharma LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• KC Pharma LLC

  • Long Term Care Pharmacy
  • Livonia, MI
  • NPI 1578086815
  NPD tax ID
• KC Pharma LLC

  • Home Infusion Therapy Pharmacy
  • Livonia, MI
  • NPI 1972467058
  NPD tax ID

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1831656073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37672 PROFESSIONAL CENTER DR STE 130B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541140",
            "telephone_number": "734-432-2015",
            "fax_number": "734-432-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37672 PROFESSIONAL CENTER DR STE 130B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541140",
            "telephone_number": "734-432-2015",
            "fax_number": "734-432-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "CHAHINE",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "PHAMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-432-2015",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray's Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Kawwas
• Jenny Marie Kawwas, RPH
• Julie Kaylor, PBMT
• Mohamad Kazma, PHARMD
• KC Pharma LLC
• KC Pharma LLC
• KDP Drugs, Inc.
• Michelle Kean, LMSW
• Patricia C Keckan, FNP-BC
• Jeffrey Kedrowski

• Community/Retail Pharmacy in Livonia, MI
• Providers in Livonia, 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 Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.