Crescent Ventures Group LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CRESCENT VENTURES GROUP LLC

Practice address

23133 Orchard Lake Rd Ste 101
Farmington, MI 48336-3278

Phone

(248) 997-7633

Fax

(248) 997-7633

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Mahdi ElahiNPI 1730855693

Title

Pharmacist in Charge

Phone

(248) 997-7633

Specialties & licenses 1

Addresses

Other names 1

• Orchard Village Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahdi Elahi

  • Pharmacist
  • Lansing, MI
  • NPI 1730855693
  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1285460469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-997-7633",
            "fax_number": "248-997-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-997-7633",
            "fax_number": "248-997-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT VENTURES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "ELAHI",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "248-997-7633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orchard Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Farmington, MI
• Providers in Farmington, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.