OrganizationActive
South Lyon Pharmacy LLC
NPI 1699580092 · Community/Retail Pharmacy · South Lyon, MI
South Lyon Pharmacy LLC is a Community/Retail Pharmacy organization in South Lyon, MI (NPI 1699580092).
Provider details
- NPI number
- 1699580092
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Niravumar Bhavsar, Pharmacy Manager(248) 446-7071
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
22894 Pontiac Trl
South Lyon, MI 48178-1640
Phone: (248) 896-1286
Street-level locationGet directions
Mailing address
22894 Pontiac Trl
South Lyon, MI 48178-1640
Other names (DBA / former)
- Doing business as
- South Lyon Pharmacy
- Doing business as
- South Lyon Pharmacy
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-03-02
- Certified
- 2025-03-02
Frequently asked questions
- What is South Lyon Pharmacy LLC's NPI number?
- South Lyon Pharmacy LLC's National Provider Identifier (NPI) is 1699580092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lyon Pharmacy LLC?
- South Lyon Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Lyon Pharmacy LLC located?
- South Lyon Pharmacy LLC's practice location on file with NPPES is 22894 Pontiac Trl, South Lyon, MI 48178-1640.
- What is South Lyon Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for South Lyon Pharmacy LLC is (248) 896-1286.
- Who is the authorized official for South Lyon Pharmacy LLC?
- The authorized official listed on South Lyon Pharmacy LLC's NPPES record is Niravumar Bhavsar, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lyon Pharmacy LLC's NPI active?
- Yes — South Lyon Pharmacy LLC's NPI (1699580092) is active in the NPPES registry as of the last update on 2025-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.