Healthcare Provider Details

I. General information

NPI: 1538966718
Provider Name (Legal Business Name): ENDRIT GROPCAJ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 E 11 MILE ROAD STE 2
WARREN MI
48091
US

IV. Provider business mailing address

19775 YVONNE DR
MACOMB MI
48044-6316
US

V. Phone/Fax

Practice location:
  • Phone: 248-404-5045
  • Fax: 248-404-5126
Mailing address:
  • Phone: 586-719-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302417077
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS68370
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: