Organization Active NPI

Grand Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1578719985
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008912 Issued in MI
Legal business name
GRAND PHARMACY
Practice address
751 E Grand Blvd
Detroit, MI 48207-2529
Phone
(313) 922-6666
Fax
(313) 922-8771
NPI assigned
Aug 18, 2008
Organization subpart
Yes
Parent organization
QUALITY BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Naveed SyedNPI 1831222504
Title
Ceo
Phone
(313) 922-6666

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 5301008912 MI Primary

Addresses

Primary practice location

751 E Grand Blvd
Detroit, MI 48207-2529

Mailing address

751 E Grand Blvd
Detroit, MI 48207-2529
Phone (313) 922-2222

National Provider Directory

National Provider Directory
Tax ID family
Quality Behavioral Health Inc4 organizations share this tax ID, including this one
Part of
Quality Behavioral Health Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1578719985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072529",
            "telephone_number": "313-922-2222",
            "fax_number": "313-922-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072529",
            "telephone_number": "313-922-6666",
            "fax_number": "313-922-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALITY BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-922-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.