OrganizationActive
Clintonville Pharmacy LLC
NPI 1023887676 · Pharmacy · Waterford, MI
Clintonville Pharmacy LLC is a Pharmacy organization in Waterford, MI (NPI 1023887676).
Provider details
- NPI number
- 1023887676
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Pankajkumar Patel, Pharmacy Manager(810) 241-2048
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4494 Clintonville Rd
Waterford, MI 48329-2307
Phone: (810) 241-2048
Street-level locationGet directions
Mailing address
4494 Clintonville Rd
Waterford, MI 48329-2307
Other names (DBA / former)
- Doing business as
- Clintonville Pharmacy
Registry dates
- Enumerated
- 2023-12-22
- Last updated
- 2023-12-25
- Certified
- 2023-12-25
Frequently asked questions
- What is Clintonville Pharmacy LLC's NPI number?
- Clintonville Pharmacy LLC's National Provider Identifier (NPI) is 1023887676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clintonville Pharmacy LLC?
- Clintonville Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Clintonville Pharmacy LLC located?
- Clintonville Pharmacy LLC's practice location on file with NPPES is 4494 Clintonville Rd, Waterford, MI 48329-2307.
- What is Clintonville Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Clintonville Pharmacy LLC is (810) 241-2048.
- Who is the authorized official for Clintonville Pharmacy LLC?
- The authorized official listed on Clintonville Pharmacy LLC's NPPES record is Pankajkumar Patel, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clintonville Pharmacy LLC's NPI active?
- Yes — Clintonville Pharmacy LLC's NPI (1023887676) is active in the NPPES registry as of the last update on 2023-12-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.