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Dr. Simon Kaljaj , PharmD

Pharmacist β€’ Port Huron, MI

Active NPI 1235863432 Individual Practitioner Male Practitioner
Practice location in NPPES

2907 Krafft Rd
Port Huron, MI 480608628

Call 8109876346 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2907 Krafft Rd

Port Huron, MI 480608628

Telephone 8109876346
Fax 8109876027
Organization at the Same NPPES Address or Phone
Kroger Co Of Michigan Facility NPI 1760416507

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Huron and Michigan

53 active clinicians are listed under Pharmacist with a practice address in Port Huron, MI (8,376 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

0% of these 53 clinicians have the CMS telehealth indicator.

0% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-23
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MI 5302413433

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 23, 2025

Registered at 2907 KRAFFT RD, PORT HURON, MI 480608628 (Tel: 8109876346)

πŸ‘€
Provider Name / Credentials Updated October 23, 2025

Recorded as SIMON KALJAJ, PHARMD

βœ…
NPI Profile Active July 13, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 13, 2022

Registered at 3813 CORKWOOD DR, STERLING HEIGHTS, MI 483144414 (Tel: 5868554556)

πŸ“
Business Mailing Address (Initial Record) July 13, 2022

Registered at 2907 KRAFFT RD, PORT HURON, MI 480608628 (Tel: 8109876346)

πŸ‘€
Provider Name / Credentials (Initial Record) July 13, 2022

Recorded as SIMON KALJAJ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Pharmacist (license number reported to NPPES: MI 5302413433)

🟒
Initial NPI Registration & Enumeration July 13, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235863432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2022
Last Update: October 23, 2025
Sole Proprietor: No

Mailing Address

2907 Krafft Rd

Port Huron, MI 480608628

Phone: 8109876346

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.