Great American Associates LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GREAT AMERICAN ASSOCIATES LLC

Doing business as

Grant pharmacy LTC

Practice address

29355 Northwestern Hwy Ste 220
Southfield, MI 48034-1051

Phone

(248) 799-3900

Fax

(248) 799-3992

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony J Kokkatt

Title

President

Phone

(248) 799-3900

Specialties & licenses 1

Addresses

Other names 1

• Grant pharmacy LTC Doing business as

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1144059502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY STE 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341051",
            "telephone_number": "248-756-8273",
            "fax_number": "248-799-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY STE 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341051",
            "telephone_number": "248-799-3900",
            "fax_number": "248-799-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT AMERICAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "KOKKATT",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-799-3900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Michelle Gray
• Karen E Gray, MSN, RN, CS, ONC
• Leanora T Gray, LLC, NCC
• Precious Gray
• Brenna Grazioli
• Great American Associates LLC (Grant Pharmacy)
• Great Expressions Dental Centers Douglas Dziuba DDS Inc (Great Expression Dental Centers)
• Great Lakes Children Center LLC
• Great Lakes Clinical Care Services LLC
• Great Lakes Dialysis West LLC (Dialysis Care Center Great Lakes West)

• Long Term Care Pharmacy in Southfield, MI
• Providers in Southfield, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.