OrganizationActive
Pure Life Pharmacy LLC
NPI 1629961297 · Community/Retail Pharmacy · Lincoln Park, MI
Pure Life Pharmacy LLC is a Community/Retail Pharmacy organization in Lincoln Park, MI (NPI 1629961297).
Provider details
- NPI number
- 1629961297
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohammed Ibrahim, Owner/Pic(313) 467-0264
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1373 Dix Hwy
Lincoln Park, MI 48146-1346
Phone: (313) 467-0264
Street-level locationGet directions
Mailing address
820 S Pemberton Rd
Bloomfield, MI 48302-1443
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Pure Life Pharmacy LLC's NPI number?
- Pure Life Pharmacy LLC's National Provider Identifier (NPI) is 1629961297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Life Pharmacy LLC?
- Pure Life Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pure Life Pharmacy LLC located?
- Pure Life Pharmacy LLC's practice location on file with NPPES is 1373 Dix Hwy, Lincoln Park, MI 48146-1346.
- What is Pure Life Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Life Pharmacy LLC is (313) 467-0264.
- Who is the authorized official for Pure Life Pharmacy LLC?
- The authorized official listed on Pure Life Pharmacy LLC's NPPES record is Mohammed Ibrahim, Owner/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Life Pharmacy LLC's NPI active?
- Yes — Pure Life Pharmacy LLC's NPI (1629961297) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.