Organization Active NPI

People & Pets Pharmacy, LLC.

  • Pharmacy
  • Brighton, MI
National Provider Identifier
1174227839
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PEOPLE & PETS PHARMACY, LLC.
Practice address
9995 E Grand River Ave
Brighton, MI 48116-1923
Phone
(810) 306-2686
Fax
(810) 306-2688
NPI assigned
Mar 28, 2023
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mr. Peter Lyders-Petersen
Title
Ceo
Phone
(248) 563-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

9995 E Grand River Ave
Brighton, MI 48116-1923

Mailing address

7915 Kensington Court
Brighton, MI 48116
Phone (248) 446-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501001214 MI Part B Supplier - Pharmacy 2264958321 Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

116 N 4th Ave
#1
Ann Arbor, MI 48104

7915 Kensington Ct
Brighton, MI 48116

9995 E Grand River Ave
Brighton, MI 48116
Phone (810) 306-2686

9995 E Grand River Ave
Fl 1
Brighton, MI 48116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1174227839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 KENSINGTON COURT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "248-446-0100",
            "fax_number": "248-446-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161923",
            "telephone_number": "810-306-2686",
            "fax_number": "810-306-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE & PETS PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "LYDERS-PETERSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-563-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.