Active NPI
Village Pharmacy West Bloomfield Inc
- Community/Retail Pharmacy
- West Bloomfield, MI
National Provider Identifier
1568320745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VILLAGE PHARMACY WEST BLOOMFIELD INC
- Practice address
- 6565 Orchard Lake Rd
West Bloomfield, MI 48322-3403 - Phone
- (248) 487-7019
- Fax
- (248) 487-9409
- NPI assigned
- Jan 14, 2026
- Last updated
- Jun 18, 2026
- 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. Adam Nabil Zawaideh
- Title
- President
- Phone
- (248) 487-7019
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
6565 Orchard Lake Rd
West Bloomfield, MI 48322-3403
Mailing address
6565 Orchard Lake Rd
West Bloomfield, MI 48322-3403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260624004495 | MI | Part B Supplier - Pharmacy | 3577036128 | Practice locations: West Bloomfield, MI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- West Bloomfield, MI
- NPI 1487407516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1568320745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223403",
"telephone_number": "248-487-7019",
"fax_number": "248-487-9409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE PHARMACY WEST BLOOMFIELD INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-14",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "ZAWAIDEH",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "NABIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-487-7019",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.