FARMER JACK PHARMACY – Community/Retail Pharmacy, NPI 1013932672

FARMER JACK PHARMACY is a healthcare provider. based in Saint clair shores, Michigan. specializing in Community/Retail Pharmacy. The organization holds a License No. 5301004620 (MI). The NPI Number for FARMER JACK PHARMACY is 1013932672

Main info

Organization
Name
FARMER JACK PHARMACY
NPI
1013932672
Phone
(586) 774-9082
Address
22332 E 9 MILE RD
Authorized Official
SUSAN KIJOWSKI PHARMACY SPECIALIST
Enumeration Date
13 July 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for FARMER JACK PHARMACY

  • 22332, East 9 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    SAINT CLAIR SHORES, MI 480801972

    Phone: (586) 774-9082

    Fax: (586) 774-5842

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48080)

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Reviews

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Frequently asked questions

What is the standard ID for FARMER JACK PHARMACY in the U.S.?
In the U.S., FARMER JACK PHARMACY is identified by NPI 1013932672.
Is FARMER JACK PHARMACY currently accepting referrals based on NPI status?
Registry metadata lists FARMER JACK PHARMACY as active.
How should patients interpret FARMER JACK PHARMACY's specialty?
The extract shows Community/Retail Pharmacy for FARMER JACK PHARMACY. Clinical services aligned with this taxonomy classification.
What city is tied to FARMER JACK PHARMACY?
The directory associates FARMER JACK PHARMACY with Saint Clair Shores, Michigan. Check all listed addresses for suites or satellite offices.
Can I export FARMER JACK PHARMACY's record?
You can download the official NPPES record; we summarize key fields for readability.

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