GRAND MERCY PHARMACY (NPI# 1013426162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013426162 |
Entity Type | Organization |
Organization Name | GRAND MERCY PHARMACY |
Practice Address |
18428 Grand River Ave Detroit MI 48223-2317 |
Practice Telephone | (313) 635-2288 |
Practice Fax Number | 3136352281 |
Mailing Telephone | 3136352288 |
Mailing Fax Number | 3136352281 |
Enumeration Date | 2017-09-20 |
Last Update Date | 2017-09-20 |
Authorized Official Name | KHALID HASHEM QASEM (PIC/OWNER) |
Authorized Official Telephone | 3136352288 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 5301011246 | MI | Suppliers |
Street Address |
18428 GRAND RIVER AVE |
City | DETROIT |
State | MI |
Zip Code | 48223-2317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
Find all providers in zip 48223 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
1992295422 | Victory Pharmacy 2 Pllc | Pharmacy | 14601 W 8 Mile Rd, Detroit, MI 48235-1621 | 2018-05-10 |
1578050712 | Genoa Healthcare, LLC | Pharmacy | 19750 Burt Rd Ste P, Detroit, MI 48219-2078 | 2018-04-13 |
1689177388 | Grace Care Pharmacy LLC | Pharmacy | 19150 Telegraph Rd, Detroit, MI 48219-1623 | 2018-03-09 |
1609310937 | New Seven Mile Pharmacy LLC | Pharmacy | 14400 Gratiot Ave, Detroit, MI 48205-2307 | 2016-12-06 |
1740631167 | Safari Drugs Pharmacy LLC | Pharmacy | 17100 W 7 Mile Rd, Detroit, MI 48235-3023 | 2016-06-27 |
1740648203 | Save-mart Pharmacy Inc | Pharmacy | 18330 W Chicago St, Detroit, MI 48228-1839 | 2016-01-29 |
1922463686 | Fidmarc Express Pharmacy Pllc | Pharmacy | 21737 W 8 Mile Rd Ste A, Detroit, MI 48219-4430 | 2015-12-23 |
1619346137 | Genoa Healthcare, LLC | Pharmacy | 15400 W Mcnichols Rd Ste 500, Detroit, MI 48235-3724 | 2015-09-15 |
1063880417 | Nezak Pharmacy and Medical Supplies LLC | Pharmacy | 15201 W 7 Mile Rd, Detroit, MI 48235-2821 | 2015-09-02 |
Find all providers in DETROIT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.