Active NPI
White Lake Pharmacy
- Community/Retail Pharmacy
- Highland, MI
National Provider Identifier
1043190879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Davis, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- South Lyon, MI
- NPI 1437323755
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.