FARMER JACK PHARMACY – Community/Retail Pharmacy, NPI 1174548739

FARMER JACK PHARMACY is a healthcare provider. based in Troy, Michigan. specializing in Community/Retail Pharmacy. The organization holds a License No. 5301007416 (MI). The NPI Number for FARMER JACK PHARMACY is 1174548739

Main info

Organization
Name
FARMER JACK PHARMACY
NPI
1174548739
Phone
Not provided
Address
1237 COOLIDGE HWY
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

  • Kroger, 1237, Coolidge Highway, Troy, Oakland County, Michigan, 48098, United States

    TROY, MI 480847012

    Phone:

    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 48084)

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Reviews

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Frequently asked questions

Is there an official ID for FARMER JACK PHARMACY in U.S. healthcare records?
The official identifier for FARMER JACK PHARMACY is NPI 1174548739.
Active or inactive — what applies to FARMER JACK PHARMACY?
You should see FARMER JACK PHARMACY as active in CMS-hosted NPPES data.
What expertise is attributed to FARMER JACK PHARMACY?
FARMER JACK PHARMACY's specialty line reads Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is FARMER JACK PHARMACY located near Troy?
FARMER JACK PHARMACY currently maps to Troy, Michigan in this extract.
Does FARMER JACK PHARMACY accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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