Organization Active NPI

Grand Mercy Pharmacy

  • Pharmacy
  • Detroit, MI
National Provider Identifier
1013426162
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301011246 Issued in MI
Legal business name
GRAND MERCY PHARMACY
Practice address
18428 Grand River Ave
Detroit, MI 48223-2317
Phone
(313) 635-2288
Fax
(313) 635-2281
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Khalid Hashem Qasem, RPHNPI 1811649619
Title
Pic/Owner
Phone
(313) 635-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301011246 MI Primary

Addresses

Primary practice location

18428 Grand River Ave
Detroit, MI 48223-2317

Mailing address

18428 Grand River Ave
Detroit, MI 48223-2317
Phone (313) 635-2288

National Provider Directory

National Provider Directory

Locations

18428 Grand River Ave
Detroit, MI 48223
Phone (313) 635-2288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764374400000",
    "number": "1013426162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18428 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232317",
            "telephone_number": "313-635-2288",
            "fax_number": "313-635-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18428 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232317",
            "telephone_number": "313-635-2288",
            "fax_number": "313-635-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MERCY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A",
        "authorized_official_last_name": "QASEM",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "HASHEM",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "313-635-2288",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.