OrganizationActive
Bald Mountain Medical Pharmacy
NPI 1588770606 · Pharmacy · Lake Orion, MI
Bald Mountain Medical Pharmacy is a Pharmacy organization in Lake Orion, MI (NPI 1588770606).
Provider details
- NPI number
- 1588770606
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Pierre Boutras, Owner(248) 814-9814
- License
- 5301007701 (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
1375 S Lapeer Rd Ste 103
Lake Orion, MI 48360-1421
Phone: (248) 814-9814
Fax: (248) 814-9818
Street-level locationGet directions
Mailing address
1375 S Lapeer Rd Ste 103
Lake Orion, MI 48360-1421
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bald Mountain Medical Pharmacy's NPI number?
- Bald Mountain Medical Pharmacy's National Provider Identifier (NPI) is 1588770606, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bald Mountain Medical Pharmacy?
- Bald Mountain Medical Pharmacy is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Bald Mountain Medical Pharmacy located?
- Bald Mountain Medical Pharmacy's practice location on file with NPPES is 1375 S Lapeer Rd Ste 103, Lake Orion, MI 48360-1421.
- What is Bald Mountain Medical Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Bald Mountain Medical Pharmacy is (248) 814-9814.
- Who is the authorized official for Bald Mountain Medical Pharmacy?
- The authorized official listed on Bald Mountain Medical Pharmacy's NPPES record is Pierre Boutras, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bald Mountain Medical Pharmacy's NPI active?
- Yes — Bald Mountain Medical Pharmacy's NPI (1588770606) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.