Gracee Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRACEE PHARMACY PLLC

Practice address

1338 N Telegraph Rd
Dearborn, MI 48128-1204

Phone

(313) 733-4523

Fax

(313) 305-7375

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Isaiah Okoh, RPHNPI 1417176751

Title

Pic

Phone

(313) 733-4523

Specialties & licenses 1

Addresses

Other names 1

• GRACEE PHARMACY Doing business as

Tax ID family

Gracee Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gracee Pharmacy PLLC

  • Community/Retail Pharmacy
  • Highland Park, MI
  • NPI 1295212124
  NPD tax ID

Practitioners 1

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

• Isaiah Etuonu Okoh, R.PH.

  • Pharmacist
  • Detroit, MI
  • NPI 1417176751
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1659970184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281204",
            "telephone_number": "313-733-4523",
            "fax_number": "313-305-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281204",
            "telephone_number": "313-733-4523",
            "fax_number": "313-305-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEE PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "OKOH",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-733-4523",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Gouin
• Bethany S Gourley, PH.D.
• Marcia L Gowans
• Michael Richard Gozdzialski, PHARMD
• Grace Points Inc
• Tawanda Mechelle Grady
• Jennifer L Graf, CRNA
• Amanda Ruth Graham, LMSW
• Bettina J Graham, MSW
• Shaveonte Denise Graham, MD

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Jan 24, 2021; 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.