NPIMap

Organization Active NPI

VG's Pharmacy Inc

Doing business as VG's Pharmacy #2

  • Pharmacist
  • Owosso, MI
National Provider Identifier
1255434528
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301004772 Issued in MI
Legal business name
VG'S PHARMACY INC
Doing business as
VG's Pharmacy #2
Practice address
1341 N. M-52 Highway
Owosso, MI 48867
Phone
(989) 725-5141
Fax
(989) 729-0852
NPI assigned
Sep 5, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Bryon C Higgins, R.PH.
Title
Pharmacy Product Director
Phone
(810) 629-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5301004772 MI Primary

Addresses

Primary practice location

1341 N. M-52 Highway
Owosso, MI 48867

Mailing address

1341 N. M-52 Highway
Owosso, MI 48867
Phone (989) 725-5141

Other identifiers 2

IdentifierTypeStateIssuer
4074835MedicaidMI
2343438OtherMINABP/NCPDP

Other names 1

  • VG's Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VG's Pharmacy 115 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1341 N M 52
Owosso, MI 48867
Phone (989) 723-6548

Practitioners & affiliated clinicians

Practitioners 2

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1255434528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N. M-52 HIGHWAY",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-725-5141",
            "fax_number": "989-729-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N. M-52 HIGHWAY",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-725-5141",
            "fax_number": "989-729-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VG'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACY PRODUCT DIRECTOR",
        "authorized_official_telephone_number": "810-629-1383",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301004772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074835",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "2343438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VG's Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.