Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREAT LAKES PHARMACY MIDLAND, LLC
NPI 1942580972
Pharmacy - Community/Retail Pharmacy in Midland, MI

Q: What is Great Lakes Pharmacy Midland, LLC's NPI number?

The NPI number for Great Lakes Pharmacy Midland, LLC is 1942580972. It was assigned to this organization in the NPPES registry on August 22, 2011. The provider is doing business as Great Lakes Pharmacy of Midland.

Q: What is Great Lakes Pharmacy Midland, LLC's specialty?

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

Active since August 22, 2011

1120 EASTMAN AVE, MIDLAND, MI 48640(989) 835-7911(989) 835-6975 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Apr 26, 2019, Jan 17, 2017 and 2 more (5 updates tracked since 2015).

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About Great Lakes Pharmacy Midland, Llc NPPES

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

GREAT LAKES PHARMACY MIDLAND, LLC (NPI 1942580972), doing business as Great Lakes Pharmacy Of Midland, is a healthcare organization registered as a community/retail pharmacy in Midland, Michigan and active in the NPI registry since August 2011. The organization lists Naif Bazzi, Owner/ Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1942580972

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameGREAT LAKES PHARMACY MIDLAND, LLC

Location Address1120 EASTMAN AVEMidland, MI 48640-4215

Mailing Address1120 Eastman AveMidland, MI 48640-4215 · (989) 835-7911 · Fax (989) 835-6975

Phone(989) 835-7911

Fax(989) 835-6975

Organization SubpartNo

Authorized OfficialNaif BazziOwner/ Pharmacist · (313) 208-4550

Enumeration DateAugust 22, 2011

Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1942580972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301009642

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

1120 EASTMAN AVE, Midland, MI 48640

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Other Names 1

Doing Business AsGreat Lakes Pharmacy Of Midland

Other Identifiers 2

Medicaid1942580972MI

Other2131633Pk

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 ›

Areas of Expertise CMS Part B claims 3

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.

104 services104 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.

61 services61 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Great Lakes Pharmacy Of Midland carries, from the Medicare DMEPOS supplier directory.

Great Lakes Pharmacy Of Midland

DMEPOS supplier · Midland, MIOperated by Pioneer Pharmacy Consulting LLC

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Does not accept Medicare assignment

Great Lakes Pharmacy Of Midland has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20526449

Medicare Participant SinceNovember 21, 2011

Supplier Location1120 Eastman AveMidland, MI 48640

Phone(989) 835-7911

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

GREAT LAKES PHARMACY MIDLAND, LLC

Pharmacy (Long Term Care Pharmacy)

1120 EASTMAN AVE
MIDLAND, MI 48640

Midland County (989) 835-7911

AMY ROEDER RPH

Pharmacist

1120 EASTMAN AVE
MIDLAND, MI 48640

Midland County (989) 835-7911

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 Midland, LLC's NPI number?

The NPI number for Great Lakes Pharmacy Midland, LLC is 1942580972. It was assigned to this organization in the NPPES registry on August 22, 2011. The provider is doing business as Great Lakes Pharmacy of Midland.

Where is Great Lakes Pharmacy Midland, LLC located?

Great Lakes Pharmacy Midland, LLC is located at 1120 Eastman Ave, Midland, MI 48640. The listed phone number is (989) 835-7911.

What is Great Lakes Pharmacy Midland, LLC's specialty?

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

Does Great Lakes Pharmacy Midland, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Great Lakes Pharmacy Of Midland does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Great Lakes Pharmacy Midland, 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 Great Lakes Pharmacy Midland, 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 Midland, LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.