Organization Active NPI

White Lake Pharmacy

  • Community/Retail Pharmacy
  • Highland, MI
National Provider Identifier
1043190879
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WHITE LAKE PHARMACY
Practice address
3620 N Duck Lake Rd
Highland, MI 48356-2336
Phone
(412) 334-6502
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kimberly Davis, PHARMDNPI 1437323755
Title
Owner
Phone
(412) 334-6502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3620 N Duck Lake Rd
Highland, MI 48356-2336

Mailing address

3620 N Duck Lake Rd
Highland, MI 48356-2336
Phone (248) 780-1776

National Provider Directory

National Provider Directory

Locations

3620 N Duck Lake Rd
Highland, MI 48356
Phone (412) 334-6502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1043190879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N DUCK LAKE RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562336",
            "telephone_number": "248-780-1776",
            "fax_number": "248-780-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N DUCK LAKE RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562336",
            "telephone_number": "412-334-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LAKE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-334-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.