OrganizationActive
Great Lakes Compounding Pharmacy
NPI 1720272016 · Community/Retail Pharmacy · Grand Haven, MI
Great Lakes Compounding Pharmacy is a Community/Retail Pharmacy organization in Grand Haven, MI (NPI 1720272016).
Provider details
- NPI number
- 1720272016
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Synanon, Inc
- Organization subpart
- Yes
- Authorized official
- Darcy Tussing, Dir of Phrm(616) 847-5230
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(89/100 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
1445 Sheldon Rd
104a
Grand Haven, MI 49417-2480
Phone: (616) 842-1223
Fax: (616) 842-0930
Street-level locationGet directions
Mailing address
1445 Sheldon Rd
Grand Haven, MI 49417-2480
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2008-07-08
Frequently asked questions
- What is Great Lakes Compounding Pharmacy's NPI number?
- Great Lakes Compounding Pharmacy's National Provider Identifier (NPI) is 1720272016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Compounding Pharmacy?
- Great Lakes Compounding Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Great Lakes Compounding Pharmacy located?
- Great Lakes Compounding Pharmacy's practice location on file with NPPES is 1445 Sheldon Rd, Grand Haven, MI 49417-2480.
- What is Great Lakes Compounding Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Compounding Pharmacy is (616) 842-1223.
- Who is the authorized official for Great Lakes Compounding Pharmacy?
- The authorized official listed on Great Lakes Compounding Pharmacy's NPPES record is Darcy Tussing, Dir of Phrm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Compounding Pharmacy's NPI active?
- Yes — Great Lakes Compounding Pharmacy's NPI (1720272016) is active in the NPPES registry as of the last update on 2008-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.