OrganizationActive
Little Traverse Bay Bands of Odawa Indians
NPI 1689387821 · Community/Retail Pharmacy · Petoskey, MI
Little Traverse Bay Bands of Odawa Indians is a Community/Retail Pharmacy organization in Petoskey, MI (NPI 1689387821).
Provider details
- NPI number
- 1689387821
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Little Traverse Bay Bands of Odawa Indians
- Organization subpart
- Yes
- Authorized official
- Frank Animikwam, Medical Director(231) 242-1700
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2390 Mitchell Park Dr Ste D
Petoskey, MI 49770-8965
Phone: (231) 242-1760
Street-level locationGet directions
Mailing address
2390 Mitchell Park Dr Ste D
Petoskey, MI 49770-8965
Other names (DBA / former)
- Other name
- Ltbb Crooked Tree Pharmacy
Registry dates
- Enumerated
- 2023-01-03
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Frequently asked questions
- What is Little Traverse Bay Bands of Odawa Indians's NPI number?
- Little Traverse Bay Bands of Odawa Indians's National Provider Identifier (NPI) is 1689387821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Little Traverse Bay Bands of Odawa Indians?
- Little Traverse Bay Bands of Odawa Indians is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Little Traverse Bay Bands of Odawa Indians located?
- Little Traverse Bay Bands of Odawa Indians's practice location on file with NPPES is 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965.
- What is Little Traverse Bay Bands of Odawa Indians's phone number?
- The practice phone number listed in the NPPES registry for Little Traverse Bay Bands of Odawa Indians is (231) 242-1760.
- Who is the authorized official for Little Traverse Bay Bands of Odawa Indians?
- The authorized official listed on Little Traverse Bay Bands of Odawa Indians's NPPES record is Frank Animikwam, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Little Traverse Bay Bands of Odawa Indians's NPI active?
- Yes — Little Traverse Bay Bands of Odawa Indians's NPI (1689387821) is active in the NPPES registry as of the last update on 2024-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.