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BORMANS INC
NPI 1720003387
Pharmacy - Community/Retail Pharmacy in Roseville, MI

Active since July 13, 2006
30851 GRATIOT AVE, ROSEVILLE, MI 48066(586) 415-0682(586) 415-0058 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Bormans Inc NPPES

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

BORMANS INC (NPI 1720003387), doing business as Farmer Jack Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Roseville, Michigan and active in the NPI registry since July 2006. The organization lists Susan Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1720003387
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBORMANS INC
Location Address30851 GRATIOT AVERoseville, MI 48066-1769
Mailing Address30851 Gratiot AveRoseville, MI 48066-1769
Phone(586) 415-0682
Fax(586) 415-0058
Organization SubpartNo
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1720003387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X · License 5301006791 (MI)

Other Names 1

Doing Business AsFarmer Jack Pharmacy

Other Identifiers 2

Other2358249Other Id Number-commercial Number
Medicaid3469879MI

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.

MARYA MEROUEH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30851 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 541-3314
PAUL DONALD SCHROFF RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30851 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 541-3314
ROY TOUBASSI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30851 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 541-3314
KROGER CO OF MICHIGAN
Pharmacy (Community/Retail Pharmacy)
30851 GRATIOT AVE
ROSEVILLE, MI 48066
Macomb County (586) 541-3314

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 Bormans Inc's NPI number?

The NPI number for Bormans Inc is 1720003387. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Farmer Jack Pharmacy.

Where is Bormans Inc located?

Bormans Inc is located at 30851 Gratiot Ave, Roseville, MI 48066. The listed phone number is (586) 415-0682.

What is Bormans Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Bormans Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.