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GREAT LAKES PHARMACY
NPI 1467865337
Pharmacy - Long Term Care Pharmacy in Mentor, OH

Active since June 08, 2014
9500 MENTOR AVE, SUITE # 110, MENTOR, OH 44060(440) 352-2500(440) 352-2554 Get Directions Write a Review

NPPES record last updated: May 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Pharmacy NPPES

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

GREAT LAKES PHARMACY (NPI 1467865337) is a healthcare organization registered as a long term care pharmacy in Mentor, Ohio and active in the NPI registry since June 2014. The organization lists Kelly Anne Malkamaki, Pharmacy Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1467865337
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGREAT LAKES PHARMACY
Location Address9500 MENTOR AVE, SUITE # 110Mentor, OH 44060-8713
Mailing Address9500 Mentor Ave, Suite # 110Mentor, OH 44060-8713 · (440) 352-2500 · Fax (440) 352-2554
Phone(440) 352-2500
Fax(440) 352-2554
Organization SubpartNo
Authorized OfficialKelly Anne MalkamakiPharmacy Manager/owner · (440) 352-2500
Enumeration DateJune 8, 2014
Last NPPES UpdateMay 17, 2020
NPPES CertifiedMay 17, 2020
✔ NPI 1467865337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
9500 MENTOR AVE, Mentor, OH 44060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARK K. KOMAR MD
Family Medicine
9500 MENTOR AVE, SUITE 100
MENTOR, OH 44060
Lake County (440) 352-4880
JOHN S. BUCCHIERI M.D.
Orthopaedic Surgery
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
DR. ERIC M PARSONS M.D.
Orthopaedic Surgery
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
DR. PATRICK A QUINN MD
Obstetrics & Gynecology
9500 MENTOR AVE, SUITE 220
MENTOR, OH 44060
Lake County (440) 357-7100
MARC J. MCNAUGHTON MD
Family Medicine
9500 MENTOR AVE, SUITE 100
MENTOR, OH 44060
Lake County (440) 350-4880
DR. STEPHEN T CAROSELLO DDS
Dentist (General Practice)
9500 MENTOR AVE, STE 280
MENTOR, OH 44060
Lake County (440) 352-2887
DR. JEFFREY C LUPICA DPM
Podiatrist
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
MS. ELIZABETH WOJCIK P.T.
Physical Therapist
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-0934

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 Great Lakes Pharmacy's NPI number?

The NPI number for Great Lakes Pharmacy is 1467865337. It was assigned to this organization in the NPPES registry on June 8, 2014.

Where is Great Lakes Pharmacy located?

Great Lakes Pharmacy is located at 9500 Mentor Ave Suite # 110, Mentor, OH 44060. The listed phone number is (440) 352-2500.

What is Great Lakes Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Great Lakes Pharmacy accept?

Health plans from Medica list Great Lakes Pharmacy 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 Great Lakes Pharmacy was last updated on May 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.