LAKELAND IMMEDIATE CARE CENTER
NPI 1144866310
Pharmacy - Community/Retail Pharmacy in Niles, MI

Active since November 22, 2019

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2025, Apr 7, 2020, Nov 22, 2019 (3 updates tracked since 2019).

About Lakeland Immediate Care Center NPPES

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

LAKELAND IMMEDIATE CARE CENTER (NPI 1144866310), doing business as Niles Community Health Center Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Niles, Michigan and active in the NPI registry since November 2019. The organization lists Joseph Gavan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144866310
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKELAND IMMEDIATE CARE CENTER
Location Address1951 OAK STNiles, MI 49120-3738
Mailing Address1951 Oak StNiles, MI 49120-3738 · (269) 262-4749
Organization SubpartYes
Authorized OfficialJoseph GavanCeo · (269) 445-3874
Enumeration DateNovember 22, 2019
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1144866310 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.

1951 OAK ST, Niles, MI 49120

Other Names 1

Doing Business AsNiles Community Health Center Pharmacy

Other Identifiers 1

Medicaid1144866310MI

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1951 OAK ST
NILES, MI 49120
Pharmacist
1951 OAK ST
NILES, MI 49120
Pharmacist
1951 OAK ST
NILES, MI 49120
Family Medicine
1951 OAK ST
NILES, MI 49120
Social Worker (Clinical)
1951 OAK ST
NILES, MI 49120
Nurse Practitioner (Family)
1951 OAK ST
NILES, MI 49120
Dentist (General Practice)
1951 OAK ST
NILES, MI 49120
Clinic/Center (Dental)
1951 OAK ST
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144866310, enumerated as an "organization" on November 22, 2019.

The provider is located at 1951 OAK ST NILES, MI 49120 and the phone number is (269) 262-4749.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.