OrganizationActive
Great Lakes Pharmacy LLC
NPI 1932648896 · Community/Retail Pharmacy · Wyandotte, MI
Great Lakes Pharmacy LLC is a Community/Retail Pharmacy organization in Wyandotte, MI (NPI 1932648896).
Provider details
- NPI number
- 1932648896
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aniruddha Pathak, Mgr,pic, Ao(443) 783-5539
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3247 Biddle Ave Ste a
Wyandotte, MI 48192-5951
Phone: (734) 224-6400
Fax: (734) 224-6500
Street-level locationGet directions
Mailing address
3247 Biddle Ave Ste a
Wyandotte, MI 48192-5951
Other names (DBA / former)
- Doing business as
- Great Lakes Pharmacy LLC
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2017-04-20
Frequently asked questions
- What is Great Lakes Pharmacy LLC's NPI number?
- Great Lakes Pharmacy LLC's National Provider Identifier (NPI) is 1932648896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Pharmacy LLC?
- Great Lakes Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Great Lakes Pharmacy LLC located?
- Great Lakes Pharmacy LLC's practice location on file with NPPES is 3247 Biddle Ave Ste a, Wyandotte, MI 48192-5951.
- What is Great Lakes Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Pharmacy LLC is (734) 224-6400.
- Who is the authorized official for Great Lakes Pharmacy LLC?
- The authorized official listed on Great Lakes Pharmacy LLC's NPPES record is Aniruddha Pathak, Mgr,pic, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Pharmacy LLC's NPI active?
- Yes — Great Lakes Pharmacy LLC's NPI (1932648896) is active in the NPPES registry as of the last update on 2017-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.