OrganizationActive
Great Lakes Pharmacy
NPI 1467865337 · Long Term Care Pharmacy · Mentor, OH
Great Lakes Pharmacy is a Long Term Care Pharmacy organization in Mentor, OH (NPI 1467865337).
Provider details
- NPI number
- 1467865337
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kelly Malkamaki, Pharmacy Manager/Owner(440) 352-2500
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
9500 Mentor Ave
Suite # 110
Mentor, OH 44060-8713
Phone: (440) 352-2500
Fax: (440) 352-2554
Street-level locationGet directions
Mailing address
9500 Mentor Ave
Mentor, OH 44060-8713
Registry dates
- Enumerated
- 2014-06-08
- Last updated
- 2020-05-17
- Certified
- 2020-05-17
Frequently asked questions
- What is Great Lakes Pharmacy's NPI number?
- Great Lakes Pharmacy's National Provider Identifier (NPI) is 1467865337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Pharmacy?
- Great Lakes Pharmacy is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Great Lakes Pharmacy located?
- Great Lakes Pharmacy's practice location on file with NPPES is 9500 Mentor Ave, Mentor, OH 44060-8713.
- What is Great Lakes Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Pharmacy is (440) 352-2500.
- Who is the authorized official for Great Lakes Pharmacy?
- The authorized official listed on Great Lakes Pharmacy's NPPES record is Kelly Malkamaki, Pharmacy Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Pharmacy's NPI active?
- Yes — Great Lakes Pharmacy's NPI (1467865337) is active in the NPPES registry as of the last update on 2020-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.