Rav3 Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009295 Issued in MI

Legal business name

RAV3 CO

Doing business as

Glendale Pharmacy

Practice address

211 Glendale St
Detroit, MI 48203-3231

Phone

(313) 454-4730

Fax

(313) 454-4735

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Janmeyjay Vyas

Title

President

Phone

(313) 454-4730

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glendale Pharmacy Doing business as

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1366765083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-454-4730",
            "fax_number": "313-454-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-454-4730",
            "fax_number": "313-454-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAV3 CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "JANMEYJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-454-4730"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shiva S Rau, MD
• Kristen Rauch, M.S.,C.G.C.
• Abdul Rauf, MD
• Muhammad Raufi
• Somee Rauniyar, MD
• Kunil Kaushik Raval, M.D., PH.D.
• Rutvik Satishkumar Raval, M.B.B.S.
• Fnu Raveena
• Sarah Raven, MD
• Kristina Ravenscroft

• 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 Mar 22, 2011; 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.