Active NPI
VG's Pharmacy Inc
Doing business as VG's Pharmacy #1
- Pharmacist
- Fenton, MI
National Provider Identifier
1891806915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5301004645
- Legal business name
- VG'S PHARMACY INC
- Doing business as
- VG's Pharmacy #1
- Practice address
- 18005 Silver Pkwy
Fenton, MI 48430-3421 - Phone
- (810) 750-1572
- Fax
- (810) 629-9732
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryon C Higgins, R.PH.
- Title
- Pharmacy Product Director
- Phone
- (810) 629-1383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5301004645 | MI | Primary |
Addresses
Primary practice location
18005 Silver Pkwy
Fenton, MI 48430-3421
Mailing address
18005 Silver Pkwy
Fenton, MI 48430-3421
Phone (810) 750-1572
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3266375 | Medicaid | MI | |
| 2342373 | Other | MI | NABP/NCPDP |
Other names 1
- VG's Pharmacy #1
National Provider Directory
National Provider Directory- Tax ID family
- VG's Pharmacy 1
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
Locations
18005 Silver Pkwy
Fenton, MI 48430
Phone (810) 750-1572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1891806915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18005 SILVER PKWY",
"city": "FENTON",
"state": "MI",
"postal_code": "484303421",
"telephone_number": "810-750-1572",
"fax_number": "810-629-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18005 SILVER PKWY",
"city": "FENTON",
"state": "MI",
"postal_code": "484303421",
"telephone_number": "810-750-1572",
"fax_number": "810-629-9732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VG'S PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "BRYON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACY PRODUCT DIRECTOR",
"authorized_official_telephone_number": "810-629-1383",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5301004645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3266375",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP/NCPDP",
"identifier": "2342373",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VG's Pharmacy #1",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.