NPIMap

Organization Active NPI

Mercy Memorial Macomb Pharmacy

  • Community/Retail Pharmacy
  • Monroe, MI
National Provider Identifier
1659314409
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005703 Issued in MI
Legal business name
MERCY MEMORIAL MACOMB PHARMACY
Doing business as
Mercy Memorial Macomb Pharmacy
Practice address
730 N Macomb St Ste 305
Monroe, MI 48162-2904
Phone
(734) 240-4100
Fax
(734) 240-4110
NPI assigned
Jun 13, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jennifer Sell
Title
Director
Phone
(734) 240-5295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301005703 MI Primary

Addresses

Primary practice location

730 N Macomb St Ste 305
Monroe, MI 48162-2904

Mailing address

730 N Macomb St Ste 305
Monroe, MI 48162-2904
Phone (734) 240-4100

Other identifiers 2

IdentifierTypeStateIssuer
2041430OtherPK
23497832825862MedicaidMI

Other names 1

  • MERCY MEMORIAL MACOMB PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Memorial Home HLT10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

730 N Macomb St
Ste 305
Monroe, MI 48162
Phone (734) 240-4100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1659314409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST STE 305",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622904",
            "telephone_number": "734-240-4100",
            "fax_number": "734-240-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST STE 305",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622904",
            "telephone_number": "734-240-4100",
            "fax_number": "734-240-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEMORIAL MACOMB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-240-5295"
    },
    "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": "5301005703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23497832825862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MEMORIAL MACOMB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.