Van Born Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010630 Issued in MI

Legal business name

VAN BORN PHARMACY INC

Practice address

22220 Van Born Rd
Dearborn Heights, MI 48125-2573

Phone

(313) 791-7311

Fax

(313) 791-7318

NPI assigned

Feb 2, 2015

Last updated

Mar 26, 2015By 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

Sunny Bertoni

Title

President

Phone

(313) 791-7311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1700276565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22220 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252573",
            "telephone_number": "313-791-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22220 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252573",
            "telephone_number": "313-791-7311",
            "fax_number": "313-791-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BORN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "BERTONI",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-791-7311"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.