Organization Active NPI

Sasco Village LLC

Doing business as Village Pharmacy II

  • Pharmacy
  • Ann Arbor, MI
National Provider Identifier
1639424385
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301009843 Issued in MI
Legal business name
SASCO VILLAGE LLC
Doing business as
Village Pharmacy II
Practice address
325 N Maple Rd
Ann Arbor, MI 48103-2824
Phone
(734) 668-9600
Fax
(734) 668-9218
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dawn Amerman
Title
Store Manager
Phone
(734) 426-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301009843 MI Primary

Addresses

Primary practice location

325 N Maple Rd
Ann Arbor, MI 48103-2824

Mailing address

325 N Maple Rd
Ann Arbor, MI 48103-2824
Phone (734) 668-9600

Other identifiers 1

IdentifierTypeStateIssuer
2136412OtherPK

Other names 1

  • Village Pharmacy II Doing business as

National Provider Directory

National Provider Directory

Locations

325 N Maple Rd
Ann Arbor, MI 48103
Phone (734) 668-9600

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1639424385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032824",
            "telephone_number": "734-668-9600",
            "fax_number": "734-668-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MAPLE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032824",
            "telephone_number": "734-668-9600",
            "fax_number": "734-668-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASCO VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "AMERMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "734-426-1600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.