Active NPI
Mercy LTC Pharmacy LLC
- Long Term Care Pharmacy
- Southfield, MI
National Provider Identifier
1205799145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MERCY LTC PHARMACY LLC
- Practice address
- 24655 Greenfield Rd
Southfield, MI 48075 - Phone
- (313) 729-5462
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid Hashem Qasem, RPH
- Title
- Owner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
24655 Greenfield Rd
Southfield, MI 48075
Mailing address
24655 Greenfield Rd
Southfield, MI 48075
Phone (313) 729-5462
National Provider Directory
National Provider DirectoryLocations
24655 Greenfield Rd
Southfield, MI 48075
Phone (313) 729-5462
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Detroit, MI
- NPI 1811649619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1205799145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24655 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "313-729-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24655 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "313-729-5462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY LTC PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "QASEM",
"authorized_official_first_name": "KHALID",
"authorized_official_middle_name": "HASHEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-729-5462",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.