OrganizationActive
Great Lakes Rph
NPI 1023017456 · Long Term Care Pharmacy · Shelbyville, MI
Great Lakes Rph is a Long Term Care Pharmacy organization in Shelbyville, MI (NPI 1023017456).
Provider details
- NPI number
- 1023017456
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Holtz, Pharmacist/Owner(269) 672-7774
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71 124th Ave
Shelbyville, MI 49344-9772
Phone: (269) 672-7774
Street-level locationGet directions
Mailing address
71 124th Ave
Shelbyville, MI 49344-9772
Other names (DBA / former)
- Doing business as
- Gun Lake Pharmacy
- Doing business as
- Weick'S Pharmacy
- Doing business as
- Weick'S Pharmacy
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Great Lakes Rph's NPI number?
- Great Lakes Rph's National Provider Identifier (NPI) is 1023017456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Rph?
- Great Lakes Rph is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Great Lakes Rph located?
- Great Lakes Rph's practice location on file with NPPES is 71 124th Ave, Shelbyville, MI 49344-9772.
- What is Great Lakes Rph's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Rph is (269) 672-7774.
- Who is the authorized official for Great Lakes Rph?
- The authorized official listed on Great Lakes Rph's NPPES record is Michael Holtz, Pharmacist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Rph's NPI active?
- Yes — Great Lakes Rph's NPI (1023017456) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.