Canton Pharmacy Group, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008205 Issued in MI

Legal business name

CANTON PHARMACY GROUP, INC

Practice address

42468 Cherry Hill Rd
Canton, MI 48187-3401

Phone

(734) 404-0159

Fax

(734) 404-0157

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nabil Khalek, PHARM.DNPI 1134487481

Title

Owner

Phone

(734) 404-0159

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• CHERRY OAK PHARMACY 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.

• Nabil Khalek, PHARMD, MS

  • Pharmacotherapy Pharmacist
  • Canton, MI
  • NPI 1134487481
  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1992713317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42468 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42468 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873401",
            "telephone_number": "734-404-0159",
            "fax_number": "734-404-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PHARMACY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "KHALEK",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-404-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008205",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367591",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2367591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY OAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Canton One Pharmacy Inc
• Canton Optique, LLC
• Canton Pediatric Dentistry, PLLC
• Canton Pediatrics
• Canton Pediatrics Clinic PLLC
• Canton Plymouth Family Dental PLLC
• Canton Podiatry PLLC
• Canton Professional Services, Inc.
• Canton Specialty Pharmacy LLC
• Canton Urgent Care PC

• Community/Retail Pharmacy in Canton, MI
• Providers in Canton, 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 Mar 12, 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.

Verify at the official NPI Registry.