NORTHERN LIGHTS COMPOUNDING INC.
NPI 1003603903
Pharmacy - Compounding Pharmacy in Iron Mountain, MI

Active since April 23, 2025
1112 S STEPHENSON AVE STE 2, IRON MOUNTAIN, MI 49801(906) 376-0910 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Lights Compounding Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN LIGHTS COMPOUNDING INC. (NPI 1003603903) is a healthcare organization registered as a compounding pharmacy in Iron Mountain, Michigan and active in the NPI registry since April 2025. The organization lists Jordan Marchetti, President, as its authorized official.

NPPES Registry Identity

NPI1003603903
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameNORTHERN LIGHTS COMPOUNDING INC.
Location Address1112 S STEPHENSON AVE STE 2Iron Mountain, MI 49801-4038
Mailing AddressPo Box 189Iron Mountain, MI 49801-0189 · (906) 774-1044 · Fax (906) 774-6833
Organization SubpartNo
Authorized OfficialJordan MarchettiPresident · (906) 376-0910
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1003603903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
1112 S STEPHENSON AVE STE 2, Iron Mountain, MI 49801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Lights Compounding Inc.'s NPI number?

The NPI number for Northern Lights Compounding Inc. is 1003603903. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Northern Lights Compounding Inc. located?

Northern Lights Compounding Inc. is located at 1112 S Stephenson Ave Ste 2, Iron Mountain, MI 49801. The listed phone number is (906) 376-0910.

What is Northern Lights Compounding Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Northern Lights Compounding Inc. was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.