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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GREAT LAKES PHARMACY LLC
NPI 1932648896
Pharmacy - Community/Retail Pharmacy in Wyandotte, MI

Active since February 13, 2017
3247 BIDDLE AVE STE A, WYANDOTTE, MI 48192(734) 224-6400(734) 224-6500 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2026, Apr 20, 2017, Feb 13, 2017 (3 updates tracked since 2017).

About Great Lakes Pharmacy Llc NPPES

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

GREAT LAKES PHARMACY LLC (NPI 1932648896) is a healthcare organization registered as a community/retail pharmacy in Wyandotte, Michigan and active in the NPI registry since February 2017. The organization lists Aniruddha Pathak, Ao, as its authorized official.

NPPES Registry Identity

NPI1932648896
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREAT LAKES PHARMACY LLC
Location Address3247 BIDDLE AVE STE AWyandotte, MI 48192-5951
Mailing Address3247 Biddle Ave Ste AWyandotte, MI 48192-5951 · (734) 224-6400 · Fax (734) 224-6500
Phone(734) 224-6400
Fax(734) 224-6500
Organization SubpartNo
Authorized OfficialAniruddha PathakAo · (734) 284-5100
Enumeration DateFebruary 13, 2017
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1932648896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301011109
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.

Also ListedPharmacyTaxonomy 333600000X
3247 BIDDLE AVE STE A, Wyandotte, MI 48192
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Other Names 1

Doing Business AsGreat Lakes Pharmacy Llc

Other Identifiers 1

Other2167778Pk

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 ›

Other Providers at the Same Location NPPES

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

ANIRUDDHA PATHAK RPH
Pharmacist
3247 BIDDLE AVE STE A
WYANDOTTE, MI 48192
Wayne County (734) 284-5100

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 LLC's NPI number?

The NPI number for Great Lakes Pharmacy LLC is 1932648896. It was assigned to this organization in the NPPES registry on February 13, 2017.

Where is Great Lakes Pharmacy LLC located?

Great Lakes Pharmacy LLC is located at 3247 Biddle Ave Ste A, Wyandotte, MI 48192. The listed phone number is (734) 224-6400.

What is Great Lakes Pharmacy LLC's specialty?

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

What insurance does Great Lakes 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 45 other insurers list Great Lakes 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 Great Lakes Pharmacy LLC was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.