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INDIAN VILLAGE PHARMACY
NPI 1306904032
Pharmacy - Community/Retail Pharmacy in Detroit, MI

Active since December 05, 2006
8367 E JEFFERSON AVE, 8367 E JEFFERSON AVE, DETROIT, MI 48214(313) 331-2000(313) 331-2001 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Jun 30, 2025, Jul 19, 2018 and 3 more (6 updates tracked since 2015).

About Indian Village Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN VILLAGE PHARMACY (NPI 1306904032) is a healthcare organization registered as a community/retail pharmacy in Detroit, Michigan and active in the NPI registry since December 2006. The organization lists Imad Y Aoun, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1306904032
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINDIAN VILLAGE PHARMACY
Location Address8367 E JEFFERSON AVE, 8367 E JEFFERSON AVEDetroit, MI 48214-2730
Mailing Address8367 E Jefferson Ave, 8367 E Jefferson AveDetroit, MI 48214-2730 · (313) 331-2000 · Fax (313) 331-2001
Phone(313) 331-2000
Fax(313) 331-2001
Organization SubpartNo
Authorized OfficialImad Y AounPharmacist · (313) 331-2000
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 5, 20256 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1306904032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301007723
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
8367 E JEFFERSON AVE, Detroit, MI 48214
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Other Names 1

Doing Business AsIndian Village Pharmacy

Other Identifiers 2

Medicaid4548959MI
Other2046489Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Indian Village Pharmacy carries, from the Medicare DMEPOS supplier directory.

Indian Village Pharmacy

DMEPOS supplier · Detroit, MI
✔

Accepts Medicare assignment

Indian Village Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20588495
Medicare Participant SinceMay 14, 2004
Supplier Location8415 E Jefferson AveDetroit, MI 48214
Phone(313) 331-2000
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICK VESTICH RPH
Pharmacist
8367 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 925-7890
IMAD Y AOUN
Pharmacist
8367 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 331-2000
JEFFERSON RX LLC
Pharmacy (Community/Retail Pharmacy)
8367 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 925-7890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Village Pharmacy's NPI number?

The NPI number for Indian Village Pharmacy is 1306904032. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Indian Village Pharmacy located?

Indian Village Pharmacy is located at 8367 E Jefferson Ave 8367 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (313) 331-2000.

What is Indian Village Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Indian Village Pharmacy accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Indian Village Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Indian Village Pharmacy accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 19 other insurers list Indian Village Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indian Village Pharmacy was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.