| NPI | 1306904032 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-05 |
| Last Updated | 2025-08-05 |
| Authorized Official | Imad Aoun Pharmacist Phone: 3133312000 |
| Mailing Address | 8367 E Jefferson Ave, 8367 E Jefferson Ave Detroit, MI 48214-2730 United States Phone: (313) 331-2000 | Fax: (313) 331-2001 📍 View Map |
| Primary Practice Address | 8367 E Jefferson Ave, 8367 E Jefferson Ave Detroit, MI 48214-2730 United States Phone: (313) 331-2000 | Fax: (313) 331-2001 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2046489 | PK |
| MEDICAID | MI | 4548959 | - |
| Other (non-Medicare) | - | ========= | NPI |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MI | 5301007723 |
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About NPI 1306904032
Indian Village Pharmacy is an organization registered in the CMS NPPES NPI Registry with NPI number 1306904032. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Detroit, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306904032?
NPI 1306904032 belongs to Indian Village Pharmacy, a Pharmacy, Community/Retail Pharmacy in Detroit, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306904032 active?
The current status of NPI 1306904032 in the NPPES registry is Active. The record was last updated on 2025-08-05.
What specialty is NPI 1306904032?
NPI 1306904032 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306904032?
You can verify NPI 1306904032 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306904032?
The primary practice address on file for NPI 1306904032 is 8367 E Jefferson Ave, Detroit, MI 48214-2730. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306904032 issued?
NPI 1306904032 was first issued (enumerated) on 2006-12-05. The NPPES record was last updated on 2025-08-05.
Practice Location Map
Indian Village Pharmacy is located at 8367 E Jefferson Ave, Detroit, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Indian Village Pharmacy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306904032. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 5301007723 | MI |