Village Pharmacy Compounding 3 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VILLAGE PHARMACY COMPOUNDING 3 INC

Practice address

31213 Southfield Rd
Beverly Hills, MI 48025-5455

Phone

(248) 723-4444

Fax

(248) 723-3910

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Gablan Zawaideh

Title

Owner

Phone

(248) 723-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Chanel Qarana

  • Pharmacist
  • Beverly Hills, MI
  • NPI 1376257022
  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1972140499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31213 SOUTHFIELD RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255455",
            "telephone_number": "248-723-4444",
            "fax_number": "248-723-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31213 SOUTHFIELD RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255455",
            "telephone_number": "248-723-4444",
            "fax_number": "248-723-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY COMPOUNDING 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ZAWAIDEH",
        "authorized_official_first_name": "GABLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-723-4444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Vincent Thomas, MA, LLP
• James Michael Vandaele, PA-C
• Heather Elyse Vieder, M.S. CCC-SLP
• Jocelyn Kimberly Vieira, RN, AG-ACNP-BC
• Village Pediatrics PLLC
• Joseph M Vitale, DPT
• Sylvia Leah Voelker, PH.D.
• Karen Alyse Waldrop, LPC
• Carla Renee Washington-Faye, LPC, ATR
• Louise Watson, CRNA

• All providers in Beverly Hills, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.