OrganizationActive
Specialty Medicine Compounding Pharmacy
NPI 1083770978 · Compounding Pharmacy · South Lyon, MI
Specialty Medicine Compounding Pharmacy is a Compounding Pharmacy organization in South Lyon, MI (NPI 1083770978).
Provider details
- NPI number
- 1083770978
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kenny Walkup, Owner(248) 446-2643
- License
- 5301007610 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
350 S Lafayette St
South Lyon, MI 48178-1814
Phone: (248) 446-2643
Fax: (248) 486-1906
Street-level locationGet directions
Mailing address
350 S Lafayette St
South Lyon, MI 48178-1814
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2013-04-19
Frequently asked questions
- What is Specialty Medicine Compounding Pharmacy's NPI number?
- Specialty Medicine Compounding Pharmacy's National Provider Identifier (NPI) is 1083770978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialty Medicine Compounding Pharmacy?
- Specialty Medicine Compounding Pharmacy is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Specialty Medicine Compounding Pharmacy located?
- Specialty Medicine Compounding Pharmacy's practice location on file with NPPES is 350 S Lafayette St, South Lyon, MI 48178-1814.
- What is Specialty Medicine Compounding Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Specialty Medicine Compounding Pharmacy is (248) 446-2643.
- Who is the authorized official for Specialty Medicine Compounding Pharmacy?
- The authorized official listed on Specialty Medicine Compounding Pharmacy's NPPES record is Kenny Walkup, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialty Medicine Compounding Pharmacy's NPI active?
- Yes — Specialty Medicine Compounding Pharmacy's NPI (1083770978) is active in the NPPES registry as of the last update on 2013-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.