Active NPI
Niyam LLC
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1013618511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NIYAM LLC
- Practice address
- 22711 Grand River Ave Ste 110
Detroit, MI 48219-3113 - Phone
- (248) 554-1148
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akshar Patel
- Title
- Sole Director
- Phone
- (248) 554-1148
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
22711 Grand River Ave Ste 110
Detroit, MI 48219-3113
Mailing address
22711 Grand River Ave Ste 110
Detroit, MI 48219-3113
Phone (248) 544-1148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013618511 | Medicaid | MI |
Other names 2
- Blue Swan Pharmacy- Detroit
- Ivira Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107000247 | MI | Part B Supplier - Pharmacy | 8123514486 | Practice locations: Detroit, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Ivira Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Detroit, MI
- NPI 1184548067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1013618511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22711 GRAND RIVER AVE STE 110",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193113",
"telephone_number": "248-544-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22711 GRAND RIVER AVE STE 110",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193113",
"telephone_number": "248-554-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIYAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AKSHAR",
"authorized_official_title_or_position": "SOLE DIRECTOR",
"authorized_official_telephone_number": "248-554-1148"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013618511",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Swan Pharmacy- Detroit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ivira Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.