KD PHARMACY, INC.
NPI 1184617912
Pharmacy in Detroit, MI

Active since August 26, 2005
3130 GRATIOT AVE, DETROIT, MI 48207(313) 924-0092(313) 924-0118 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kd Pharmacy, Inc. NPPES

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

KD PHARMACY, INC. (NPI 1184617912) is a healthcare organization registered as a pharmacy in Detroit, Michigan and active in the NPI registry since August 2005. The organization lists John Dejongh, President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184617912
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKD PHARMACY, INC.
Location Address3130 GRATIOT AVEDetroit, MI 48207-2283
Mailing Address2520 Industrial Row DrTroy, MI 48084-7035 · (248) 540-8066 · Fax (248) 540-0112
Fax(313) 924-0118
Organization SubpartNo
Authorized OfficialJohn DejonghPresident Of Operations · (248) 540-8066
Enumeration DateAugust 26, 2005
Last NPPES UpdateFebruary 12, 2009
✔ NPI 1184617912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301007358
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
3130 GRATIOT AVE, Detroit, MI 48207

Other Identifiers 5

Other2362616MI · Ncpdp
Medicare ID-Type Unspecified4340332MI
Medicaid2362616MI
Medicare NSC0875690003MN
Other1184617912MI · Npi

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
3130 GRATIOT AVE
DETROIT, MI 48207
Family Medicine
3130 GRATIOT AVE
DETROIT, MI 48207
Family Medicine
3130 GRATIOT AVE
DETROIT, MI 48207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kd Pharmacy, Inc.'s NPI number?

The NPI number for Kd Pharmacy, Inc. is 1184617912. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Kd Pharmacy, Inc. located?

Kd Pharmacy, Inc. is located at 3130 Gratiot Ave, Detroit, MI 48207. The listed phone number is (313) 924-0092.

What is Kd Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Kd Pharmacy, Inc. was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.