| NPI | 1144866310 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-11-22 |
| Last Updated | 2025-09-04 |
| Authorized Official | Joseph Gavan CEO Phone: 2694453874 |
| Mailing Address | 1951 Oak St Niles, MI 49120-3738 United States Phone: (269) 262-4749 📍 View Map |
| Primary Practice Address | 1951 Oak St Niles, MI 49120-3738 United States Phone: (269) 262-4749 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1144866310 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1144866310
Lakeland Immediate Care Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1144866310. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Niles, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-11-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1144866310?
NPI 1144866310 belongs to Lakeland Immediate Care Center, a Pharmacy, Community/Retail Pharmacy in Niles, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1144866310 active?
The current status of NPI 1144866310 in the NPPES registry is Active. The record was last updated on 2025-09-04.
What specialty is NPI 1144866310?
NPI 1144866310 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1144866310?
You can verify NPI 1144866310 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1144866310?
The primary practice address on file for NPI 1144866310 is 1951 Oak St, Niles, MI 49120-3738. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1144866310 issued?
NPI 1144866310 was first issued (enumerated) on 2019-11-22. The NPPES record was last updated on 2025-09-04.
Practice Location Map
Lakeland Immediate Care Center is located at 1951 Oak St, Niles, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lakeland Immediate Care Center. All records sourced from the CMS NPPES registry.