Organization Active NPI

Van Buren Pharmaceuticals LLC

Doing business as Van Buren Pharmacy

  • Community/Retail Pharmacy
  • Belleville, MI
National Provider Identifier
1316367816
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010392 Issued in MI
Legal business name
VAN BUREN PHARMACEUTICALS LLC
Doing business as
Van Buren Pharmacy
Practice address
11650 Belleville Rd Ste 103
Suite 103
Belleville, MI 48111-3382
Phone
(734) 325-6318
Fax
(734) 325-6319
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Gebre Ashebir
Title
Pharmacist in Charge
Phone
(734) 325-6318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010392 MI Primary

Addresses

Primary practice location

11650 Belleville Rd Ste 103
Suite 103
Belleville, MI 48111-3382

Mailing address

11650 Belleville Rd Ste 103
Suite 103
Belleville, MI 48111-3382
Phone (734) 325-6318

Other identifiers 2

IdentifierTypeStateIssuer
0006060728MedicaidMI
2145405OtherPK

Other names 1

  • Van Buren Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1316367816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD STE 103",
            "address_2": "SUITE 103",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113382",
            "telephone_number": "734-325-6318",
            "fax_number": "734-325-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD STE 103",
            "address_2": "SUITE 103",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113382",
            "telephone_number": "734-325-6318",
            "fax_number": "734-325-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ASHEBIR",
        "authorized_official_first_name": "GEBRE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-325-6318"
    },
    "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": "5301010392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006060728",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Buren Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, MI

Sources for this page

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