Vandyke Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008740 Issued in MI

Legal business name

VANDYKE PHARMACY

Practice address

27379 Van Dyke Ave
Warren, MI 48093-2805

Phone

(586) 757-9777

Fax

(586) 757-3278

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Bimal Patel, RPH

Title

President

Phone

(810) 410-8460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VANDYKE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1982884318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27379 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27379 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932805",
            "telephone_number": "586-757-9777",
            "fax_number": "586-757-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDYKE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BIMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-410-8460",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2370461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANDYKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubri Vanbrabant
• Adam Vance
• Lori Vance
• Miranda Vancoppenolle
• Katherine Vandewyngearde, LMSW
• Kia Vang, LMT
• Eric Joseph Vanhulle, PT MPT OMPT CSCS
• Joseph Vannoy, PHARMD
• Jeffrey Richard Varanelli, OD
• Jims Thankachan Varghese, P.T.

• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, 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 Sep 12, 2008; 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.