Organization Active NPI

Nazirko LLC

Doing business as West Village Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1134199979
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009086 Issued in MI
Legal business name
NAZIRKO LLC
Doing business as
West Village Pharmacy
Practice address
2040 Monroe St
Suite 201
Dearborn, MI 48124-2950
Phone
(313) 561-9700
Fax
(313) 561-6903
NPI assigned
Jan 24, 2006
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Maha ElnazirNPI 1467746370
Title
Pharmacy Manager
Phone
(313) 561-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 5301009086 MI Primary

Addresses

Primary practice location

2040 Monroe St
Suite 201
Dearborn, MI 48124-2950

Mailing address

2040 Monroe St
Suite 201
Dearborn, MI 48124-2950
Phone (313) 561-9700

Other identifiers 1

IdentifierTypeStateIssuer
2042116OtherPK

Other names 1

  • WEST VILLAGE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202002889 MI Part B Supplier - Mass Immunization (Roster Biller Only) 3870983927 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

2040 Monroe St
Ste 201
Dearborn, MI 48124
Phone (313) 561-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1134199979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-561-9700",
            "fax_number": "313-561-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-561-9700",
            "fax_number": "313-561-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZIRKO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ELNAZIR",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "313-561-9700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.

Verify at the official NPI Registry.