Gratiot Seven Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRATIOT SEVEN PHARMACY, LLC

Practice address

12740 Gratiot Ave Ste 100
Detroit, MI 48205-3944

Phone

(313) 458-7379

Fax

(313) 458-7385

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Sam Mawari, PHARMDNPI 1457948697

Title

RPH

Phone

(313) 458-7379

Specialties & licenses 1

Addresses

Other names 1

• PharMor Pharmacy - Gratiot Doing business as

Locations

Practitioners 1

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

• Sam Mawari, PHARMD

  • Pharmacist
  • Detroit, MI
  • NPI 1457948697
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1912523986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 GRATIOT AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053944",
            "telephone_number": "313-458-7379",
            "fax_number": "313-458-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 GRATIOT AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053944",
            "telephone_number": "313-458-7379",
            "fax_number": "313-458-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATIOT SEVEN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MAWARI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "313-458-7379",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMor Pharmacy - Gratiot",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMor Pharmacy - Gratiot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gratiot Advanced Center LLC
• Gratiot Clinic
• Gratiot Dental PC
• Gratiot Drug Store Inc
• Gratiot New Pharmacy
• Gratitude House
• Victoria Ivy Grattan, LLPC
• Jordan Grauer, MD
• Tamara Kay Gravelle, P.A.
• Melissa Graves-Clapp, LLMSW

• 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 Oct 31, 2024; 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.