Active NPI
VG's Pharmacy Inc
Doing business as VG's Pharmacy #9
- Pharmacist
- Clio, MI
National Provider Identifier
1508978610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5301006830
- Legal business name
- VG'S PHARMACY INC
- Doing business as
- VG's Pharmacy #9
- Practice address
- 710 S Mill St
Clio, MI 48420-1491 - Phone
- (810) 686-0004
- Fax
- (810) 564-3181
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryon C Higgins, R.PH.
- Title
- Pharmacy Product Director
- Phone
- (810) 629-1383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5301006830 | MI | Primary |
Addresses
Primary practice location
710 S Mill St
Clio, MI 48420-1491
Mailing address
710 S Mill St
Clio, MI 48420-1491
Phone (810) 686-0004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3500128 | Medicaid | MI | |
| 2358768 | Other | MI | NABP/NCPDP |
Other names 1
- VG's Pharmacy #9
National Provider Directory
National Provider Directory- Tax ID family
- VG's Pharmacy 1
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1508978610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S MILL ST",
"city": "CLIO",
"state": "MI",
"postal_code": "484201491",
"telephone_number": "810-686-0004",
"fax_number": "810-564-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S MILL ST",
"city": "CLIO",
"state": "MI",
"postal_code": "484201491",
"telephone_number": "810-686-0004",
"fax_number": "810-564-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VG'S PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "BRYON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACY PRODUCT DIRECTOR",
"authorized_official_telephone_number": "810-629-1383",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "5301006830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3500128",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP/NCPDP",
"identifier": "2358768",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VG's Pharmacy #9",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clio, MI
- Sandra Trombley, PHARM. D
- Trustfall Therapy LLC (Trustfall Therapy)
- Cassidy Tucker, PA-C
- Kristen Briana Twitty
- Unity Home Care Services LLC
- Visiting Nurse Services of Michigan
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4243)
- Wal-Mart Stores East, LP (Vision Center 30-4243)
- Hannah Louise Wansitler, PA-C
- Katherine Warner, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.