Organization Active NPI

Valiant Pharmacy Holdings, LLC

  • Compounding Pharmacy
  • Ypsilanti, MI
National Provider Identifier
1073229670
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
VALIANT PHARMACY HOLDINGS, LLC
Practice address
1274 Anna J Stepp Dr
Ypsilanti, MI 48197-8442
Phone
(248) 701-1800
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Eihab Z Swidan, PHARM D
Title
Ceo
Phone
(248) 701-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

1274 Anna J Stepp Dr
Ypsilanti, MI 48197-8442

Mailing address

1274 Anna J Stepp Dr
Ypsilanti, MI 48197-8442
Phone (248) 701-1800

National Provider Directory

National Provider Directory

Locations

1274 Anna J Stepp Dr
Ypsilanti, MI 48197
Phone (248) 701-1800

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1073229670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 ANNA J STEPP DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978442",
            "telephone_number": "248-701-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 ANNA J STEPP DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978442",
            "telephone_number": "248-701-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT PHARMACY HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SWIDAN",
        "authorized_official_first_name": "EIHAB",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-701-1800",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.