FARMER JACK PHARMACY
NPI 1275558835
Pharmacy in Canton, MI

NPI Status: Active since July 13, 2006

Contact Information

225 S CANTON CENTER RD
CANTON, MI
ZIP 48188
Phone: (734) 844-2139
Fax: (734) 844-3582

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  • Organization
  • Pharmacy

About FARMER JACK PHARMACY

This page provides the complete NPI Profile along with additional information for Farmer Jack Pharmacy, a provider established in Canton, Michigan operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1275558835 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number 5301007074 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Farmer Jack Pharmacy. The authorized official of this NPI record is Susan Kijowski (Pharmacy Specialist)

NPI
1275558835
Provider Legal Name
BORMANS INC
Other Organization Name
FARMER JACK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
225 S CANTON CENTER RD CANTON, MI 48188
Location Phone
(734) 844-2139
Location Fax
(734) 844-3582
Mailing Address
225 S CANTON CENTER RD CANTON, MI 48188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
5301007074
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN KIJOWSKI

Authorized Official Title
PHARMACY SPECIALIST
Authorized Official Phone
(201) 571-8326

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4144250MEDICAID (05)MI 
2360446OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275558835
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451051686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 5 + 1 + 6 + 8 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1275558835 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275558835, enumerated as an "organization" on July 13, 2006.

The provider is located at 225 S CANTON CENTER RD CANTON, MI 48188 and the phone number is (734) 844-2139.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.