OrganizationActive
12 Mile Road Pharmacy LLC
NPI 1275170441 · Community/Retail Pharmacy · Berkley, MI
12 Mile Road Pharmacy LLC is a Community/Retail Pharmacy organization in Berkley, MI (NPI 1275170441).
Provider details
- NPI number
- 1275170441
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Evan Johnson, Owner(248) 677-3584
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
3348 12 Mile Rd
Berkley, MI 48072-1344
Phone: (248) 677-3584
Street-level locationGet directions
Mailing address
3348 12 Mile Rd
Berkley, MI 48072-1344
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is 12 Mile Road Pharmacy LLC's NPI number?
- 12 Mile Road Pharmacy LLC's National Provider Identifier (NPI) is 1275170441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12 Mile Road Pharmacy LLC?
- 12 Mile Road Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 12 Mile Road Pharmacy LLC located?
- 12 Mile Road Pharmacy LLC's practice location on file with NPPES is 3348 12 Mile Rd, Berkley, MI 48072-1344.
- What is 12 Mile Road Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for 12 Mile Road Pharmacy LLC is (248) 677-3584.
- Who is the authorized official for 12 Mile Road Pharmacy LLC?
- The authorized official listed on 12 Mile Road Pharmacy LLC's NPPES record is Evan Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12 Mile Road Pharmacy LLC's NPI active?
- Yes — 12 Mile Road Pharmacy LLC's NPI (1275170441) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.