Organization Active NPI

Vantage Pharmaceutical Services

  • Clinic Pharmacy
  • Wayne, MI
National Provider Identifier
1073218111
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
VANTAGE PHARMACEUTICAL SERVICES
Practice address
3139 S Wayne Rd
Wayne, MI 48184-1220
Phone
(313) 899-8020
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ali Charara
Title
Pharmacist
Phone
(313) 899-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

3139 S Wayne Rd
Wayne, MI 48184-1220

Mailing address

3139 S Wayne Rd
Wayne, MI 48184-1220

National Provider Directory

National Provider Directory

Locations

3139 S Wayne Rd
Wayne, MI 48184
Phone (313) 899-8020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1073218111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841220",
            "telephone_number": "313-899-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE PHARMACEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CHARARA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-899-8020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.