Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WALLED LAKE PHARMACY LLC
NPI 1083518500
Pharmacy - Community/Retail Pharmacy in Walled Lake, MI

Active since October 07, 2026
1336 S COMMERCE RD, WALLED LAKE, MI 48390(248) 574-5552 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Walled Lake Pharmacy Llc NPPES

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

WALLED LAKE PHARMACY LLC (NPI 1083518500) is a healthcare organization registered as a community/retail pharmacy in Walled Lake, Michigan and active in the NPI registry since October 2026. The organization lists Abdullah Mussad, Gm, as its authorized official.

NPPES Registry Identity

NPI1083518500
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALLED LAKE PHARMACY LLC
Location Address1336 S COMMERCE RDWalled Lake, MI 48390-3010
Mailing Address1336 S Commerce RdWalled Lake, MI 48390-3010
Organization SubpartNo
Authorized OfficialAbdullah MussadGm · (248) 574-5552
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1083518500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1336 S COMMERCE RD, Walled Lake, MI 48390

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 Walled Lake Pharmacy LLC's NPI number?

The NPI number for Walled Lake Pharmacy LLC is 1083518500. It was assigned to this organization in the NPPES registry on October 7, 2026.

Where is Walled Lake Pharmacy LLC located?

Walled Lake Pharmacy LLC is located at 1336 S Commerce Rd, Walled Lake, MI 48390. The listed phone number is (248) 574-5552.

What is Walled Lake Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Walled Lake Pharmacy LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.