Organization Active NPI

Best Value Pharmacy LLC

  • Long Term Care Pharmacy
  • Detroit, MI
National Provider Identifier
1427203967
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301008983 Issued in MI
Legal business name
BEST VALUE PHARMACY LLC
Doing business as
Lakeshore Pharmacy
Practice address
7310 Woodward Ave FL 4
Detroit, MI 48202-3165
Phone
(313) 483-3910
Fax
(313) 872-0680
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Edward Vahalek
Title
Director of Pharmacy
Phone
(313) 483-3910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 5301008983 MI Primary

Addresses

Primary practice location

7310 Woodward Ave FL 4
Detroit, MI 48202-3165

Mailing address

7310 Woodward Ave FL 4
Detroit, MI 48202-3165
Phone (313) 483-3910

Other identifiers 1

IdentifierTypeStateIssuer
2118169OtherPK

Other names 1

  • Lakeshore Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Best Value Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7310 Woodward Ave
Fl 4
Detroit, MI 48202
Phone (313) 483-3910

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1427203967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 WOODWARD AVE FL 4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023165",
            "telephone_number": "313-483-3910",
            "fax_number": "313-872-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 WOODWARD AVE FL 4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023165",
            "telephone_number": "313-483-3910",
            "fax_number": "313-872-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST VALUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "VAHALEK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "313-483-3910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.