Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
NPI 1376455691
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Detroit, MI

Q: What is Lac Vieux Desert Band Of Lake Superior Chippewa Indians's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since September 21, 2026

4559 WESSON STREET, SUITE 100, DETROIT, MI 48210(313) 600-0189 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Lac Vieux Desert Band Of Lake Superior Chippewa Indians NPPES

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

LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS (NPI 1376455691) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Detroit, Michigan and active in the NPI registry since September 2026. The organization lists Sadie Valliere, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376455691

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameLAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

Location Address4559 WESSON STREET, SUITE 100Detroit, MI 48210

Mailing AddressPo Box 9Watersmeet, MI 49969-0009 · (313) 600-0189

Phone(313) 600-0189

Organization SubpartNo

Authorized OfficialSadie ValliereAdministrator · (906) 358-4587

Enumeration DateSeptember 21, 2026

NPPES CertifiedSeptember 18, 2026

✔ NPI 1376455691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Also ListedPharmacyTaxonomy 333600000X

4559 WESSON STREET, Detroit, MI 48210

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Other Providers at the Same Location NPPES

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

DR. MERLYN IVETTE RIVERA RIVERA PHARM.D

Pharmacist (Pharmacotherapy)

4559 WESSON STREET, SUITE 100
DETROIT, MI 48210

Wayne County (313) 600-0189

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 Lac Vieux Desert Band Of Lake Superior Chippewa Indians's NPI number?

The NPI number for Lac Vieux Desert Band Of Lake Superior Chippewa Indians is 1376455691. It was assigned to this organization in the NPPES registry on September 21, 2026.

Where is Lac Vieux Desert Band Of Lake Superior Chippewa Indians located?

Lac Vieux Desert Band Of Lake Superior Chippewa Indians is located at 4559 Wesson Street Suite 100, Detroit, MI 48210. The listed phone number is (313) 600-0189.

What is Lac Vieux Desert Band Of Lake Superior Chippewa Indians's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

When was this NPI record last updated?

The NPPES record for Lac Vieux Desert Band Of Lake Superior Chippewa Indians was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.