BALD MOUNTAIN MEDICAL PHARMACY
NPI 1588770606
Pharmacy in Lake Orion, MI

Active since August 22, 2006
1375 S LAPEER RD STE 103, LAKE ORION, MI 48360(248) 814-9814(248) 814-9818 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bald Mountain Medical Pharmacy NPPES

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

BALD MOUNTAIN MEDICAL PHARMACY (NPI 1588770606) is a healthcare organization registered as a pharmacy in Lake Orion, Michigan and active in the NPI registry since August 2006. The organization lists Pierre Boutras, Owner, as its authorized official.

NPPES Registry Identity

NPI1588770606
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBALD MOUNTAIN MEDICAL PHARMACY
Location Address1375 S LAPEER RD STE 103Lake Orion, MI 48360-1421
Mailing Address1375 S Lapeer Rd Ste 103Lake Orion, MI 48360-1421 · (248) 814-9814 · Fax (248) 814-9818
Fax(248) 814-9818
Organization SubpartNo
Authorized OfficialPierre BoutrasOwner · (248) 814-9814
Enumeration DateAugust 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1588770606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 5301007701
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1375 S LAPEER RD STE 103, Lake Orion, MI 48360

Other Identifiers 1

Other2364862MI · Ncpdp

Other Providers at the Same Location NPPES

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

Pharmacist
1375 S LAPEER RD STE 103
LAKE ORION, MI 48360

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 Bald Mountain Medical Pharmacy's NPI number?

The NPI number for Bald Mountain Medical Pharmacy is 1588770606. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Bald Mountain Medical Pharmacy located?

Bald Mountain Medical Pharmacy is located at 1375 S Lapeer Rd Ste 103, Lake Orion, MI 48360. The listed phone number is (248) 814-9814.

What is Bald Mountain Medical Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Bald Mountain Medical Pharmacy was last updated on August 22, 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.