Organization Active NPI

New Gratiot Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1043658883
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEW GRATIOT PHARMACY LLC
Practice address
3745 Gratiot Ave
Detroit, MI 48207-1867
Phone
(313) 922-0700
Fax
(313) 922-0707
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Mr. Bhupinder Thandi
Title
President
Phone
(313) 374-1797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3745 Gratiot Ave
Detroit, MI 48207-1867

Mailing address

3745 Gratiot Ave
Detroit, MI 48207-1867
Phone (313) 922-0700

Other names 1

  • New Gratiot Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3745 Gratiot Ave
Detroit, MI 48207
Phone (313) 579-2643

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": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1043658883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071867",
            "telephone_number": "313-922-0700",
            "fax_number": "313-922-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071867",
            "telephone_number": "313-922-0700",
            "fax_number": "313-922-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GRATIOT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "THANDI",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-374-1797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Gratiot Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 8, 2017; 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.