East Village Pharmay Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009315 Issued in MI

Legal business name

EAST VILLAGE PHARMAY INC

Doing business as

East Village Pharmacy

Practice address

5728 Schaefer Rd
Ste 102
Dearborn, MI 48126-2298

Phone

(313) 581-4626

Fax

(313) 581-4623

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Hachmie Zein, RPH

Title

President/Owner/Pic

Phone

(313) 581-4626

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East Village Pharmacy Doing business as

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1982928818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-624-3016",
            "fax_number": "313-581-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD",
            "address_2": "STE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262298",
            "telephone_number": "313-581-4626",
            "fax_number": "313-581-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VILLAGE PHARMAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "ZEIN",
        "authorized_official_first_name": "HACHMIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PIC",
        "authorized_official_telephone_number": "313-581-4626",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michelle Renee Eastman

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Dec 23, 2015; 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.