Organization Active NPI

Pillpack LLC

  • Community/Retail Pharmacy
  • Wixom, MI
National Provider Identifier
1710718697
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PILLPACK LLC
Practice address
29753 S. Wixom Rd
Suite 100
Wixom, MI 48393
Phone
(855) 745-5725
NPI assigned
Aug 12, 2024
Organization subpart
Yes
Parent organization
PILLPACK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Tanvi Jayanti Patel
Title
Vice President
Phone
(855) 745-5725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

29753 S. Wixom Rd
Suite 100
Wixom, MI 48393

Mailing address

29753 S. Wixom Rd
Suite 100
Wixom, MI 48393
Phone (855) 745-5725

Other names 1

  • Amazon Pharmacy #012 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pillpack LLC63 organizations share this tax ID, including this one
Part of
Pillpack LLC

Locations

29753 S Wixom Rd
Ste 100
Wixom, MI 48393

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1710718697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29753 S. WIXOM RD",
            "address_2": "SUITE 100",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "855-745-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29753 S. WIXOM RD",
            "address_2": "SUITE 100",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "855-745-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLPACK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PILLPACK LLC",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TANVI",
        "authorized_official_middle_name": "JAYANTI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "855-745-5725"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazon Pharmacy #012",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amazon Pharmacy #012",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.