1. Home
  2. Directory
  3. Michigan
  4. Mt Pleasant
  5. Pharmacy
  6. NPI Profile

MISSION PHARMACY, LLC
NPI 1417055567
Pharmacy - Community/Retail Pharmacy in Mt Pleasant, MI

Active since September 20, 2006CLIA 23D0961306 · Waiver
926 S MISSION, MT PLEASANT, MI 48858(989) 773-8200(989) 773-8282 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2023, Apr 29, 2021, Nov 15, 2016 (3 updates tracked since 2016).

About Mission Pharmacy, Llc NPPES

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

MISSION PHARMACY, LLC (NPI 1417055567) is a healthcare organization registered as a community/retail pharmacy in Mt Pleasant, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Lisa Louise Lundahl, Member, as its authorized official.

NPPES Registry Identity

NPI1417055567
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMISSION PHARMACY, LLC
Location Address926 S MISSIONMt Pleasant, MI 48858
Mailing Address926 S MissionMt Pleasant, MI 48858 · (989) 773-8200 · Fax (989) 773-8282
Phone(989) 773-8200
Fax(989) 773-8282
Organization SubpartNo
Authorized OfficialLisa Louise LundahlMember · (989) 773-8200
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1417055567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301006573
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.
926 S MISSION, Mt Pleasant, MI 48858
Open in Google Maps ↗

Other Identifiers 2

Medicaid3354754MI
Other2356980Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0961306

Mission Pharmacy LLC · Mount Pleasant, MI
Active · expires Oct 28, 2026
CLIA Number23D0961306
Laboratory TypePharmacy
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorAndrew Lundahl
Laboratory Phone(989) 773-8200
Laboratory LocationMission Pharmacy LLC926 S Mission Street, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

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 Mission Pharmacy, LLC's NPI number?

The NPI number for Mission Pharmacy, LLC is 1417055567. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Mission Pharmacy, LLC located?

Mission Pharmacy, LLC is located at 926 S Mission, Mt Pleasant, MI 48858. The listed phone number is (989) 773-8200.

What is Mission Pharmacy, LLC's specialty?

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

Does Mission Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0961306) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mission Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Mission Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mission Pharmacy, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.