Organization Active NPI

Grace Care Pharmacy LLC

Doing business as Grace Care Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1689177388
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011340 Issued in MI
Legal business name
GRACE CARE PHARMACY LLC
Doing business as
Grace Care Pharmacy
Practice address
19150 Telegraph Rd
Detroit, MI 48219-1623
Phone
(313) 971-8681
Fax
(313) 870-9702
NPI assigned
Mar 9, 2018
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
Noaman NagiNPI 1710259106
Title
Owner
Phone
(313) 971-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301011340 MI Primary

Addresses

Primary practice location

19150 Telegraph Rd
Detroit, MI 48219-1623

Mailing address

19150 Telegraph Rd
Detroit, MI 48219-1623
Phone (313) 971-8681

Other identifiers 1

IdentifierTypeStateIssuer
2176298OtherPK

Other names 1

  • GRACE CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

19150 Telegraph Rd
Detroit, MI 48219
Phone (313) 971-8681

Practitioners & affiliated clinicians

Practitioners 1

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1689177388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191623",
            "telephone_number": "313-971-8681",
            "fax_number": "313-870-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191623",
            "telephone_number": "313-971-8681",
            "fax_number": "313-870-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "NAGI",
        "authorized_official_first_name": "NOAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-971-8681"
    },
    "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": "5301011340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.