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GRANT PHARMACY
NPI 1487907960
Pharmacy - Community/Retail Pharmacy in Southfield, MI

Active since October 20, 2012
29355 NORTHWESTERN HWY, STE 220, SOUTHFIELD, MI 48034(248) 799-3900(248) 799-3992 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grant Pharmacy NPPES

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

GRANT PHARMACY (NPI 1487907960) is a healthcare organization registered as a community/retail pharmacy in Southfield, Michigan and active in the NPI registry since October 2012. The organization lists Tony John Kokkatt, President, as its authorized official.

NPPES Registry Identity

NPI1487907960
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREAT AMERICAN ASSOCIATES LLC
Location Address29355 NORTHWESTERN HWY, STE 220Southfield, MI 48034-1053
Mailing Address29355 Northwestern Hwy Ste 220Southfield, MI 48034-1051 · (248) 799-3900
Phone(248) 799-3900
Fax(248) 799-3992
Organization SubpartNo
Authorized OfficialTony John KokkattPresident · (248) 799-3900
Enumeration DateOctober 20, 2012
Last NPPES UpdateNovember 29, 2016
✔ NPI 1487907960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301009932
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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 5301009932 (MI)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 5301009932 (MI)
29355 NORTHWESTERN HWY, Southfield, MI 48034
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Other Names 1

Doing Business AsGrant Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20170306000348DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

CLAYMAN & RILEY PC
Oral & Maxillofacial Surgery
29355 NORTHWESTERN HWY, SUITE # 200
SOUTHFIELD, MI 48034
Oakland County (248) 262-9100
REHAB SPECIALISTS OF SOUTHFIELD
Physical Therapist
29355 NORTHWESTERN HWY, #200
SOUTHFIELD, MI 48034
Oakland County (248) 353-7507
EDWARD MALINOWSKI MD PLC
Internal Medicine (Cardiovascular Disease)
29355 NORTHWESTERN HWY, 120
SOUTHFIELD, MI 48034
Oakland County (248) 352-5200
RICHARD MARK STOBER MD
Internal Medicine
29355 NORTHWESTERN HWY, STE. 120
SOUTHFIELD, MI 48034
Oakland County (248) 223-9650
NORTHWEST DERMATOLGY GROUP, PC
Dermatology (MOHS-Micrographic Surgery)
29355 NORTHWESTERN HWY, #200
SOUTHFIELD, MI 48034
Oakland County (248) 353-0880
JACQUELINE GIERER D.O.
Internal Medicine
29355 NORTHWESTERN HWY, SUITE 210
SOUTHFIELD, MI 48034
Oakland County (248) 356-7726
CLAYMAN & RILEY PC
Oral & Maxillofacial Surgery
29355 NORTHWESTERN HWY, SUITE # 200
SOUTHFIELD, MI 48034
Oakland County (248) 262-9100
LEONARD SAHN, M.D., P.C.
Psychiatry & Neurology (Neurology)
29355 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 355-1300

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 Great American Associates LLC's NPI number?

The NPI number for Great American Associates LLC is 1487907960. It was assigned to this organization in the NPPES registry on October 20, 2012. The provider is doing business as Grant Pharmacy.

Where is Great American Associates LLC located?

Great American Associates LLC is located at 29355 Northwestern Hwy Ste 220, Southfield, MI 48034. The listed phone number is (248) 799-3900.

What is Great American Associates LLC's specialty?

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

Is Great American Associates LLC enrolled in Medicare?

Yes. Great American Associates LLC is registered in the Medicare PECOS enrollment system.

When is Great American Associates LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Great American Associates LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 47 other insurers list Great American Associates 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 Great American Associates LLC was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.