Village Pharmacy Hazel Park, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VILLAGE PHARMACY HAZEL PARK, INC

Practice address

1843 E 8 Mile Rd
Hazel Park, MI 48030-2639

Phone

(248) 654-8122

Fax

(248) 654-8123

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Gablan Zawaideh

Title

Ceo

Phone

(248) 931-5398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1407651680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 E 8 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302639",
            "telephone_number": "248-654-8122",
            "fax_number": "248-654-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 E 8 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302639",
            "telephone_number": "248-654-8122",
            "fax_number": "248-654-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY HAZEL PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "ZAWAIDEH",
        "authorized_official_first_name": "GABLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-931-5398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.