NPIMap

Organization Active NPI

VG'S Pharmacy Inc

  • Community/Retail Pharmacy
  • Shelby TWP, MI
National Provider Identifier
1639378490
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008665 Issued in MI
Legal business name
VG'S PHARMACY INC
Practice address
50820 Schoenherr Rd
Shelby TWP, MI 48315-3129
Phone
(586) 566-7351
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mr. Bryon C Higgins, RPH
Title
Pharmacy Product Director
Phone
(810) 629-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008665 MI Primary

Addresses

Primary practice location

50820 Schoenherr Rd
Shelby TWP, MI 48315-3129

Mailing address

209 S Alloy Dr
Fenton, MI 48430-3401
Phone (810) 629-1383

Other identifiers 2

IdentifierTypeStateIssuer
5195174MedicaidMI
2370043OtherNABP

Other names 1

  • VG's Pharmacy #14 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VG'S Pharmacy 115 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

50820 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 532-8461

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1639378490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S ALLOY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303401",
            "telephone_number": "810-629-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50820 SCHOENHERR RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153129",
            "telephone_number": "586-566-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VG'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "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": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5195174",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2370043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VG's Pharmacy #14",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby TWP, MI

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.

Verify at the official NPI Registry.