DR. KEITH DAVID NOWAK PHARM. D.
NPI 1003040635
Pharmacist in East Jordan, MI

Active since May 11, 2009
250 S LAKE ST, SUITE A, EAST JORDAN, MI 49727(231) 536-0901 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Keith David Nowak Pharm. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH DAVID NOWAK PHARM. D. (NPI 1003040635) is an individual pharmacist in East Jordan, Michigan, licensed in Michigan (5302035428) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1003040635
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KEITH DAVID NOWAKCredential: PHARM. D.
Location Address250 S LAKE ST, SUITE AEast Jordan, MI 49727-9376
Mailing Address250 S Lake St, Suite AEast Jordan, MI 49727-9376 · (231) 536-0901
Sole ProprietorNo
Enumeration DateMay 11, 2009
NPI 1003040635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302035428
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

250 S LAKE ST, East Jordan, MI 49727

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003040635, enumerated as an "individual" on May 11, 2009.

The provider is located at 250 S LAKE ST SUITE A EAST JORDAN, MI 49727 and the phone number is (231) 536-0901.

Pharmacist with taxonomy code 183500000X.