Indian Village Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007723 Issued in MI

Legal business name

INDIAN VILLAGE PHARMACY

Doing business as

Indian Village Pharmacy

Practice address

8367 E Jefferson Ave
8367 E Jefferson Ave
Detroit, MI 48214-2730

Phone

(313) 331-2000

Fax

(313) 331-2001

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Imad Y Aoun, RPHNPI 1427148063

Title

Pharmacist

Phone

(313) 331-2000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• INDIAN VILLAGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Imad Y Aoun

  • Pharmacist
  • Detroit, MI
  • NPI 1427148063
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1306904032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8367 E JEFFERSON AVE",
            "address_2": "8367 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142730",
            "telephone_number": "313-331-2000",
            "fax_number": "313-331-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8367 E JEFFERSON AVE",
            "address_2": "8367 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142730",
            "telephone_number": "313-331-2000",
            "fax_number": "313-331-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "AOUN",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-331-2000",
        "authorized_official_credential": "RPH"
    },
    "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": "5301007723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4548959",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIAN VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.