Organization Active NPI

Active Medical Infusions PLLC

  • Non-Pharmacy Dispensing Site
  • Wayne, MI
National Provider Identifier
1124925821
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ACTIVE MEDICAL INFUSIONS PLLC
Practice address
4020 Venoy Rd Ste 800
Wayne, MI 48184-2495
Phone
(734) 707-4630
Fax
(844) 707-4630
NPI assigned
Oct 24, 2026
Last updated
Oct 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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

Authorized official

Name
Mr. Harpinder S Bhangoo
Title
Ceo
Phone
(734) 707-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

4020 Venoy Rd Ste 800
Wayne, MI 48184-2495

Mailing address

4020 Venoy Rd Ste 800
Wayne, MI 48184-2495
Phone (734) 707-4630

NPI Registry JSON

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

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792800000000",
    "number": "1124925821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 800",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842495",
            "telephone_number": "734-707-4630",
            "fax_number": "844-707-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 800",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842495",
            "telephone_number": "734-707-4630",
            "fax_number": "844-707-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MEDICAL INFUSIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A",
        "authorized_official_last_name": "BHANGOO",
        "authorized_official_first_name": "HARPINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-707-4630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "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 Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.