MEDICARE: GREATNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	5301009691	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2132831	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477821775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATNESS LLC

Provider Business Mailing Address
First Line	:	PO BOX 5578
Second Line	:	P.O.BOX 5578
City	:	DETROIT
State	:	MI
Zip	:	48205-0578
Country	:	US
Telephone Number	:	313-372-4100
Fax Number	:	313-372-4782

Provider Business Practice Location Address
First Line	:	13641 E 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2257
Country	:	US
Telephone Number	:	313-372-4100
Fax Number	:	313-372-4782

Authorized Official
Title or Position	:	RPH / OWNER
Name	:	BELIEF EMADAMERHO
Credential	:
Telephone Number	:	313-218-1786

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	09/19/2025

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Directions to “GREATNESS LLC ” Practice Location

Language	Start Address	Practice Location

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