GRACE MEDICAL PHARMACY LLC
NPI 1457787921
Pharmacy - Community/Retail Pharmacy in Detroit, MI

Active since September 17, 2013
20805 GRAND RIVER AVE, DETROIT, MI 48219(313) 255-2300(313) 255-2307 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Feb 25, 2021 (2 updates tracked since 2021).

About Grace Medical Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MEDICAL PHARMACY LLC (NPI 1457787921) is a healthcare organization registered as a community/retail pharmacy in Detroit, Michigan and active in the NPI registry since September 2013. The organization lists Muyiwa John Sule, Pharmacist/president, as its authorized official.

NPPES Registry Identity

NPI1457787921
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRACE MEDICAL PHARMACY LLC
Location Address20805 GRAND RIVER AVEDetroit, MI 48219-3919
Mailing Address20805 Grand River AveDetroit, MI 48219-3919 · (313) 255-2300 · Fax (313) 255-2307
Fax(313) 255-2307
Organization SubpartNo
Authorized OfficialMuyiwa John SulePharmacist/president · (248) 346-4480
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
NPI 1457787921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301010188
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
20805 GRAND RIVER AVE, Detroit, MI 48219

Other Names 1

Doing Business AsGrace Medical Pharmacy Llc

Other Identifiers 2

Medicaid1457787921MI
Other2142091Pk

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
20805 GRAND RIVER AVE
DETROIT, MI 48219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Medical Pharmacy LLC's NPI number?

The NPI number for Grace Medical Pharmacy LLC is 1457787921. It was assigned to this organization in the NPPES registry on September 17, 2013.

Where is Grace Medical Pharmacy LLC located?

Grace Medical Pharmacy LLC is located at 20805 Grand River Ave, Detroit, MI 48219. The listed phone number is (313) 255-2300.

What is Grace Medical Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Grace Medical Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Grace Medical Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Medical Pharmacy LLC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.