GRAND VALUE PHARMACY INC (NPI# 1699862888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699862888 |
Entity Type | Organization |
Organization Name | GRAND VALUE PHARMACY INC |
Other Organization Name | GRAND VALUE PHARMACY |
Practice Address |
10920 Grand River Ave Detroit MI 48204-2052 |
Practice Telephone | 3139310010 |
Practice Fax Number | 3139341658 |
Mailing Telephone | 3139310010 |
Mailing Fax Number | 3139341658 |
Enumeration Date | 2006-10-07 |
Last Update Date | 2016-10-20 |
Authorized Official Name | KEVIN WHITE (OWNER PHARMACIST) |
Authorized Official Telephone | 3139310010 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
530100439 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3015348 | 05 | |
PK | 2043099 | 01 |
Other Name | Type Code |
---|---|
GRAND VALUE PHARMACY | Doing Business As Name - Organization |
Street Address |
10920 GRAND RIVER AVE |
City | DETROIT |
State | MI |
Zip Code | 48204-2052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285768341 | Kevin Charles White | Pharmacist | 10920 Grand River Ave, Detroit, MI 48204-2052 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
Find all providers in zip 48204 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
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: new] |
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1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
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.