Organization Active NPI

Joseph a Lanzon RPH PC

  • Community/Retail Pharmacy
  • Livonia, MI
National Provider Identifier
1396753877
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004975 Issued in MI
Legal business name
JOSEPH A LANZON RPH PC
Doing business as
Professional Village Pharmacy Of Livonia
Practice address
11589 Farmington Rd
Livonia, MI 48150-5729
Phone
(734) 427-2400
Fax
(734) 261-6139
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Aamir Uddin, PHARMDNPI 1609407071
Title
Owner
Phone
(734) 427-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301004975 MI Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

11589 Farmington Rd
Livonia, MI 48150-5729

Mailing address

11589 Farmington Rd
Livonia, MI 48150-5729
Phone (734) 427-2400

Other identifiers 3

IdentifierTypeStateIssuer
2040502OtherPK
2915057MedicaidMI
2915066MedicaidMI

Other names 1

  • Professional Village Pharmacy Of Livonia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003200 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3870614738 Practice locations: Livonia, MI
O20230922003437 MI Part B Supplier - Pharmacy 3870614738 Practice locations: Livonia, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Joseph a Lanzon RPH PC11589 Farmington Rd, Livonia, MI 48150-5729(734) 427-2400 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory

Locations

11589 Farmington Rd
Livonia, MI 48150
Phone (734) 427-2400

Practitioners & affiliated clinicians

Practitioners 3

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1396753877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11589 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "734-427-2400",
            "fax_number": "734-261-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11589 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "734-427-2400",
            "fax_number": "734-261-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A LANZON RPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "AAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-427-2400",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004975",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040502",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915057",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Village Pharmacy Of Livonia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Village Pharmacy Of Livonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.