NPIMap

Organization Active NPI

VPH Pharmacy

  • Nutrition Support Pharmacist
  • Swartz Creek, MI
National Provider Identifier
1336392539
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
5315025195 Issued in MI
Legal business name
VPH PHARMACY
Practice address
5376 Miller Rd
Swartz Creek, MI 48473-1511
Phone
(810) 877-7170
Fax
(810) 733-1820
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Vincent Howard
Title
Owner/Pharmacist
Phone
(810) 877-7170

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315025195 MI
Nutrition Support Pharmacist 1835N1003X 5315025195 MI Primary
Pharmacotherapy Pharmacist 1835P1200X 5315025195 MI
Psychiatric Pharmacist 1835P1300X 5315025195 MI
Pharmacy Technician 183700000X 5315025195 MI
Geriatric Pharmacist 1835G0303X 5315025195 MI

Addresses

Primary practice location

5376 Miller Rd
Swartz Creek, MI 48473-1511

Mailing address

5376 Miller Rd
Swartz Creek, MI 48473-1511
Phone (810) 877-7170

Other identifiers 2

IdentifierTypeStateIssuer
2368101MedicaidMI
4855969MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
VPH Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1336392539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5376 MILLER RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731511",
            "telephone_number": "810-877-7170",
            "fax_number": "810-733-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5376 MILLER RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731511",
            "telephone_number": "810-877-7170",
            "fax_number": "810-733-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "810-877-7170"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315025195",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MI",
            "license": "5315025195",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5315025195",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MI",
            "license": "5315025195",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5315025195",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MI",
            "license": "5315025195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368101",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4855969",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swartz Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.