Grand Greenfield Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAND GREENFIELD PHARMACY, LLC

Doing business as

PharMor Pharmacy - Grand Greenfield

Practice address

14661 Greenfield Rd Ste B
Detroit, MI 48227-2231

Phone

(248) 663-3380

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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

Wagdi Abdulla

Title

Pic

Phone

(248) 663-3380

Specialties & licenses 1

Addresses

Other names 1

• PharMor Pharmacy - Grand Greenfield Doing business as

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1396361366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14661 GREENFIELD RD STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14661 GREENFIELD RD STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272231",
            "telephone_number": "248-663-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND GREENFIELD PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "WAGDI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "248-663-3380"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMor Pharmacy - Grand Greenfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore K Graham, MD
• Ursula Graham, LPC
• Daniel Grahf, MD
• Kaitlyn Nicole Grambo, RDN, CNSC, CDCES
• Grand Gratiot Pharmacy, LLC (PharMor Pharmacy-Grand Gratiot)
• Grand Lahser Pharmacy LLC (PharMor Pharmacy- Grand Lahser)
• Grand Mercy Pharmacy
• Grand Pharmacy
• Grand River Family Dentistry P.C.
• Grand River Health Center, PLC

• 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 Jun 24, 2020; 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.