Venoy Family Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VENOY FAMILY PHARMACY LLC

Doing business as

Executive Care Pharmacy

Practice address

17000 Executive Plaza Dr Ste 104
Dearborn, MI 48126-2793

Phone

(313) 634-4858

Fax

(313) 908-1184

NPI assigned

Nov 27, 2019

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hassan A Ismail, RPHNPI 1316583602

Title

Owner

Phone

(313) 485-0111

Specialties & licenses 1

Addresses

Other names 1

• EXECUTIVE CARE PHARMACY Doing business as

Locations

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.

• Hassan A Ismail

  • Pharmacist
  • Dearborn, MI
  • NPI 1316583602
  Authorized official Same address or phone

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1578109377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE PLAZA DR STE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262793",
            "telephone_number": "313-634-4858",
            "fax_number": "313-908-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE PLAZA DR STE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262793",
            "telephone_number": "313-634-4858",
            "fax_number": "313-908-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENOY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-0111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXECUTIVE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Divya Vemuri, MD
• Padmaja Vemuri, M.D.,
• Hema Venkat, MD
• Preeti Venkataraman, MD
• Venocure, PLLC
• Barbara Venson
• Alyssa Nevaeh Ventura
• Gary Claude Veraghen, D.D.S.
• Sophia Mary Verduce
• Charles Vermeulen, MS, LLP

• Long Term Care Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.