Organization Active NPI

Novi Mercy Pharmacy PC

  • Community/Retail Pharmacy
  • Novi, MI
National Provider Identifier
1104585611
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NOVI MERCY PHARMACY PC
Practice address
39500 W 10 Mile Rd Ste 111
Novi, MI 48375-2947
Phone
(313) 729-5462
NPI assigned
Dec 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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
Phone
(313) 729-5462

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

39500 W 10 Mile Rd Ste 111
Novi, MI 48375-2947

Mailing address

39500 W 10 Mile Rd Ste 111
Novi, MI 48375-2947
Phone (313) 729-5462

National Provider Directory

National Provider Directory

Locations

39500 W 10 Mile Rd
Ste 111
Novi, MI 48375
Phone (248) 987-6886

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": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1104585611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 111",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "313-729-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 111",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "313-729-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI MERCY PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "QASEM",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "HASHEM",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-729-5462",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.