Village Pharmacy Compounding 4 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VILLAGE PHARMACY COMPOUNDING 4 INC

Practice address

21510 Harrington St Ste 1E-100
Clinton Township, MI 48036-2377

Phone

(586) 737-3344

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Alex Dikhow

Title

Owner

Phone

(248) 632-7409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Dikhow

  • Pharmacist
  • Royal Oak, MI
  • NPI 1821692542
  NPD
• Robert Harb, RPH

  • Pharmacist
  • Bloomfield Hills, MI
  • NPI 1073804936
  NPD
• Louis A Zawaideh, PHARMD

  • Pharmacotherapy Pharmacist
  • Troy, MI
  • NPI 1194871061
  NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1841998663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21510 HARRINGTON ST STE 1E-100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362377",
            "telephone_number": "586-737-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21510 HARRINGTON ST STE 1E-100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362377",
            "telephone_number": "586-737-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY COMPOUNDING 4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "DIKHOW",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-632-7409"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Carol Vetrano-Schrode, LPC
• VHS Childrens Hospital of Michigan Inc
• Alexandra Vidovska
• Melanie Viereck
• Joseph Jean Vigneau, D.C.
• Rachel Vincent
• Visions Home
• Vital Home Health Services LLC
• Erin Marie Vitale, DO
• Sara Marie Vitale

• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, 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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.