BORMANS INC (NPI# 1437174091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437174091 |
| Entity Type | Organization |
| Organization Name | BORMANS INC |
| Other Organization Name | FARMER JACK PHARMACY |
| Practice Address |
11250 E Jefferson Ave Detroit MI 48214-3301 |
| Practice Telephone | 3137320033 |
| Practice Fax Number | 3138226381 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN KIJOWSKI (PHARMACY SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 5301007710 | MI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2364898 | 01 | |
| MI | 2364898 | 05 |
| Other Name | Type Code |
|---|---|
| FARMER JACK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225055841 | Bormans Inc | Pharmacy | 34414 Ford Rd, Westland, MI 48185-3008 | 2006-07-17 |
| 1043237662 | Bormans Inc | Pharmacy | 15100 Silver Pkwy, Fenton, MI 48430-3449 | 2006-07-17 |
| 1134146756 | Bormans Inc | Pharmacy | 9850 Telegraph Rd, Taylor, MI 48180-3334 | 2006-07-17 |
| 1013932664 | Bormans Inc | Pharmacy | 3666 Fort St, Lincoln Park, MI 48146-4117 | 2006-07-13 |
| 1922023571 | Bormans Inc | Pharmacy | 20780 Fort St, Riverview, MI 48193-6731 | 2006-07-13 |
| 1457376014 | Bormans Inc | Pharmacy | 23849 West Rd, Brownstown Twp, MI 48134-9310 | 2006-07-13 |
| 1104841766 | Bormans Inc | Pharmacy | 26400 Ford Rd, Dearborn Heights, MI 48127-2884 | 2006-07-13 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1700801362 | Bormans Inc | Pharmacy | 100 N Adams Rd, Rochester Hills, MI 48309-1376 | 2006-07-13 |
| 1164447728 | Bormans Inc | Pharmacy | 20422 Mack Ave, Grosse Pointe Woods, MI 48236-1676 | 2006-07-13 |
| Street Address |
11250 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932502283 | Ark Pharmacy | Pharmacy | 11250 E Jefferson Ave, Detroit, MI 48214-3301 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1992295422 | Victory Pharmacy 2 Pllc | Pharmacy | 14601 W 8 Mile Rd, Detroit, MI 48235-1621 | 2018-05-10 |
| 1578050712 | Genoa Healthcare, LLC | Pharmacy | 19750 Burt Rd Ste P, Detroit, MI 48219-2078 | 2018-04-13 |
| 1689177388 | Grace Care Pharmacy LLC | Pharmacy | 19150 Telegraph Rd, Detroit, MI 48219-1623 | 2018-03-09 |
| 1013426162 | Grand Mercy Pharmacy | Pharmacy | 18428 Grand River Ave, Detroit, MI 48223-2317 | 2017-09-20 |
| 1609310937 | New Seven Mile Pharmacy LLC | Pharmacy | 14400 Gratiot Ave, Detroit, MI 48205-2307 | 2016-12-06 |
| 1740631167 | Safari Drugs Pharmacy LLC | Pharmacy | 17100 W 7 Mile Rd, Detroit, MI 48235-3023 | 2016-06-27 |
| 1740648203 | Save-mart Pharmacy Inc | Pharmacy | 18330 W Chicago St, Detroit, MI 48228-1839 | 2016-01-29 |
| 1922463686 | Fidmarc Express Pharmacy Pllc | Pharmacy | 21737 W 8 Mile Rd Ste A, Detroit, MI 48219-4430 | 2015-12-23 |
| 1619346137 | Genoa Healthcare, LLC | Pharmacy | 15400 W Mcnichols Rd Ste 500, Detroit, MI 48235-3724 | 2015-09-15 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.