Bormans Inc
Organization Active NPI Community/Retail Pharmacy · Dearborn, MI
NPI 1902821564 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1902821564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BORMANS INC
- Practice address
- 15255 Michigan Ave
Dearborn, MI 48126-2954 - Phone
- (313) 945-0412
- Fax
- (313) 945-1888
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Kijowski
- Title
- Pharmacy Specialist
- Phone
- (201) 571-8326
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Bormans Inc
Locations
15255 Michigan Ave
Dearborn, MI 48126
Phone (313) 945-0412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5301006684 | MI | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
15255 Michigan Ave
Dearborn, MI 48126-2954
Mailing address
15255 Michigan Ave
Dearborn, MI 48126-2954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2357590 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3411387 | Medicaid | MI |
Other names
- FARMER JACK PHARMACY
Other providers in Dearborn, MI
- Kingkhan Boriboon
- Morgan Clara Boris
- Ethan Aleksandr Bork
- Alexandra F Borlace
- Bormans Inc
- Audrianna Bornamann
- Lisa A Boros-Laurain
- Kimberly A Borrego
- Ricardo D Borrego
- Mary Botu
All providers in Dearborn, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.