Organization Active NPI

Village Script Inc

Doing business as Village Script East

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1821549742
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VILLAGE SCRIPT INC
Doing business as
Village Script East
Practice address
5728 Schaefer Rd
Suite 102
Dearborn, MI 48126-2298
Phone
(313) 581-4626
Fax
(313) 581-4623
NPI assigned
Oct 14, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Wissam Salame
Title
President
Phone
(313) 320-6003

Specialties & licenses 1

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

Addresses

Primary practice location

5728 Schaefer Rd
Suite 102
Dearborn, MI 48126-2298

Mailing address

5728 Schaefer Rd
Suite 102
Dearborn, MI 48126-2298
Phone (313) 581-4626

Other names 1

  • VILLAGE SCRIPT EAST Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408002111 MI Part B Supplier - Mass Immunization (Roster Biller Only) 2769890862 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

5728 Schaefer Rd
Ste 102
Dearborn, MI 48126
Phone (313) 581-4626

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821549742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-581-4626",
            "fax_number": "313-581-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "SUITE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-581-4626",
            "fax_number": "313-581-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SCRIPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALAME",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-320-6003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE SCRIPT EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.