Active NPI
VC Pharmacy PLLC
Doing business as VC Pharmacy
- Community/Retail Pharmacy
- Waterford, MI
National Provider Identifier
1346738192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301011385
- Legal business name
- VC PHARMACY PLLC
- Doing business as
- VC Pharmacy
- Practice address
- 7300 Highland Rd
Waterford, MI 48327-1508 - Phone
- (248) 618-3894
- Fax
- (947) 222-8976
- NPI assigned
- Apr 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Babatunde Oyewumi
- Title
- Ceo/Owner
- Phone
- (248) 618-3894
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011385 | MI | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
7300 Highland Rd
Waterford, MI 48327-1508
Mailing address
12903 Beech Daly Rd
Redford, MI 48239-2781
Phone (734) 833-4781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176636 | Other | PK |
Other names 1
- VC Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000663 | MI | Part B Supplier - Pharmacy | 9234543216 | Practice locations: Waterford, MI |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545004800000",
"number": "1346738192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12903 BEECH DALY RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482392781",
"telephone_number": "734-833-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271508",
"telephone_number": "248-618-3894",
"fax_number": "947-222-8976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VC PHARMACY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-27",
"last_updated": "2018-12-17",
"status": "A",
"authorized_official_last_name": "OYEWUMI",
"authorized_official_first_name": "BABATUNDE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "248-618-3894"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301011385",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176636",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VC Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.