Waasi LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009934 Issued in MI

Legal business name

WAASI LLC

Doing business as

Village Drug Shop

Practice address

113 W Grand River Rd
Webberville, MI 48892-5120

Phone

(517) 521-3484

Fax

(517) 521-3488

NPI assigned

Sep 12, 2006

Last updated

Dec 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zahid LatifNPI 1881904381

Title

Owner

Phone

(517) 521-3484

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Village Drug Shop Doing business as

Locations

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.

• Zahid Latif, R.PH

  • Pharmacist
  • Cary, NC
  • NPI 1881904381
  NPD Authorized official
• Edward C. Ghannam, RPH

  • Pharmacist
  • Webberville, MI
  • NPI 1801903455
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1265536833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14864 LIRI DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125772",
            "telephone_number": "517-521-3484",
            "fax_number": "517-521-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W GRAND RIVER RD",
            "city": "WEBBERVILLE",
            "state": "MI",
            "postal_code": "488925120",
            "telephone_number": "517-521-3484",
            "fax_number": "517-521-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAASI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-521-3484"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009934",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137865",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Drug Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Drug Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Webberville, MI
• Providers in Webberville, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.