Organization Active NPI

Village Care Pharmacy LLC

Doing business as village care pharmacy

  • Community/Retail Pharmacy
  • Owosso, MI
National Provider Identifier
1528538618
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VILLAGE CARE PHARMACY LLC
Doing business as
village care pharmacy
Practice address
427 W Main St
Owosso, MI 48867-2759
Phone
(989) 720-4545
NPI assigned
Nov 30, 2018
Last updated
Jun 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Ajaykumar GajeraNPI 1497030332
Title
President
Phone
(732) 986-8675

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 1

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

Addresses

Primary practice location

427 W Main St
Owosso, MI 48867-2759

Mailing address

427 W Main St
Owosso, MI 48867-2759
Phone (989) 720-4545

Other names 1

  • village care pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001897 MI Part B Supplier - Mass Immunization (Roster Biller Only) 6305267105 Practice locations: Owosso, MI

National Provider Directory

National Provider Directory

Locations

427 W Main St
Owosso, MI 48867
Phone (989) 720-4545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1528538618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672759",
            "telephone_number": "989-720-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672759",
            "telephone_number": "989-720-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "GAJERA",
        "authorized_official_first_name": "AJAYKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-986-8675"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "village care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.