Organization Active NPI

Cherry Hill Village Pharmacy LLC

  • Community/Retail Pharmacy
  • Canton, MI
National Provider Identifier
1376054833
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHERRY HILL VILLAGE PHARMACY LLC
Practice address
50429 Independence St
Canton, MI 48188
Phone
(734) 858-7643
Fax
(734) 858-7689
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Yida Perez
Title
Member/Owner
Phone
(734) 544-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

50429 Independence St
Canton, MI 48188

Mailing address

50429 Independence St
Canton, MI 48188-6735
Phone (734) 858-7643

Other practice location 1

50429 Independence St
Canton, MI 48188-6735
Phone (734) 858-7643

National Provider Directory

National Provider Directory

Locations

50429 Independence St
Canton, MI 48188
Phone (734) 729-6734

Practitioners & affiliated clinicians

Practitioners 2

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": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1376054833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50429 INDEPENDENCE ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886735",
            "telephone_number": "734-858-7643",
            "fax_number": "734-858-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50429 INDEPENDENCE ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-858-7643",
            "fax_number": "734-858-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50429 Independence St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481886735",
            "country_code": "US",
            "telephone_number": "734-858-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHERRY HILL VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YIDA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "734-544-1278"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.