Paw Paw Village Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PAW PAW VILLAGE DRUG, INC.

Doing business as

Colon Village Drug

Practice address

131 S Blackstone Ave
Colon, MI 49040-9398

Phone

(269) 432-3435

NPI assigned

Dec 27, 2021

Last updated

Aug 12, 2025By 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

Dr. Jeffrey Robert Stull, PHARM.D.

Title

Owner

Phone

(269) 657-6073

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colon Village Drug Doing business as

Electronic endpoints 1

Tax ID family

Aurora Long Term Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Bronson Village Drug, Inc.

  dba Decatur Village Pharmacy

  • Community/Retail Pharmacy
  • Decatur, MI
  • NPI 1558021931
  NPD tax ID
• Bronson Village Drug, Inc.

  dba Aurora Long Term Care - Traverse City

  • Long Term Care Pharmacy
  • Traverse City, MI
  • NPI 1639851116
  NPD tax ID
• Bronson Village Drug, Inc.

  dba Aurora Long Term Care

  • Long Term Care Pharmacy
  • Mattawan, MI
  • NPI 1699340539
  NPD tax ID

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1922768308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791408",
            "telephone_number": "269-657-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S BLACKSTONE AVE",
            "city": "COLON",
            "state": "MI",
            "postal_code": "490409398",
            "telephone_number": "269-432-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAW PAW VILLAGE DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-657-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301007449",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "55555",
            "affiliation": "N",
            "address_1": "131 N Blackstone Ave",
            "city": "Colon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490409398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colon Village Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colon Village Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Adams
• Jamal Alaloul
• Colon Medical Clinic
• Lori Diane Kauffman
• Murks Village Market Inc (Colon Village Pharmacy)
• Revolution Health PC
• Rebecca Shuler
• Joseph G Smolarz, DDS
• Southwest Spine Center PLLC
• Hayden Stauffer

• Community/Retail Pharmacy in Colon, MI
• Providers in Colon, 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 Aug 12, 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.