Griswold Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007747 Issued in MI

Legal business name

GRISWOLD PHARMACY INC

Practice address

1411 Washington Blvd
Detroit, MI 48226-1745

Phone

(313) 237-9000

Fax

(313) 237-9961

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Ahmed Ankouni, RPHNPI 1356441026

Title

Owner and Pharmacist

Phone

(313) 237-9000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GRISWOLD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Ahmed Hassan Ankouni, RPH

  • Pharmacist
  • Detroit, MI
  • NPI 1356441026
  NPD (past) Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1184666752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261745",
            "telephone_number": "313-237-9000",
            "fax_number": "313-237-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261745",
            "telephone_number": "313-237-9000",
            "fax_number": "313-237-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISWOLD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ANKOUNI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "313-237-9000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISWOLD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Richelle Grimes
• Joyce Elizabeth Grimm, GNP
• Matthew Grimm
• Shanna Lee Grinage-Domingue
• Fatiha Grissi, MD
• Agostino Julian Grittani, M.D
• Sharon Ann Grix, RNC, NP
• Karen L Grobbel, OTR
• Dorota Grochowska
• Kelly Ann-Casselman Grocoff, LLMSW

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.