Organization Active NPI

Krishna Pharmacy LLC

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1184417925
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KRISHNA PHARMACY LLC
Practice address
21605 Van Dyke Ave
Warren, MI 48089-2945
Phone
(248) 837-5612
NPI assigned
May 24, 2025
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Shilpaben PatelNPI 1396236493
Title
Owner
Phone
(248) 837-5612

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

21605 Van Dyke Ave
Warren, MI 48089-2945

Mailing address

380 Ashlawn CT
Troy, MI 48083-6500

Other names 1

  • VANDYKE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Krishna Pharmacy LLC

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": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1184417925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ASHLAWN CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892945",
            "telephone_number": "248-837-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA PHARMACY LLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHILPABEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-837-5612"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANDYKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.