OrganizationActive
Great Lakes R.ph. Corp
NPI 1689481236 · Long Term Care Pharmacy · Shelbyville, MI
Great Lakes R.ph. Corp is a Long Term Care Pharmacy organization in Shelbyville, MI (NPI 1689481236).
Provider details
- NPI number
- 1689481236
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Holtz, Pharmacist/Owner(269) 998-6772
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 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
71 124th Ave
Shelbyville, MI 49344-9772
Phone: (269) 672-7774
Fax: (269) 672-7887
Street-level locationGet directions
Mailing address
Po Box 53
Shelbyville, MI 49344-0053
Other names (DBA / former)
- Doing business as
- Gun Lake Pharmacy
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Great Lakes R.ph. Corp's NPI number?
- Great Lakes R.ph. Corp's National Provider Identifier (NPI) is 1689481236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes R.ph. Corp?
- Great Lakes R.ph. Corp is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Great Lakes R.ph. Corp located?
- Great Lakes R.ph. Corp's practice location on file with NPPES is 71 124th Ave, Shelbyville, MI 49344-9772.
- What is Great Lakes R.ph. Corp's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes R.ph. Corp is (269) 672-7774.
- Who is the authorized official for Great Lakes R.ph. Corp?
- The authorized official listed on Great Lakes R.ph. Corp's NPPES record is Michael Holtz, Pharmacist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes R.ph. Corp's NPI active?
- Yes — Great Lakes R.ph. Corp's NPI (1689481236) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.