Bald Mountain Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BALD MOUNTAIN PHARMACY LLC

Doing business as

Bald Mountain Pharmacy

Practice address

1375 S Lapeer Rd Ste 102
Lake Orion, MI 48360-1421

Phone

(248) 607-0205

Fax

(248) 607-0504

NPI assigned

Oct 22, 2025

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Simon Kaljaj, PHARMD

Title

Pic

Phone

(248) 607-0205

Specialties & licenses 1

Addresses

Other names 1

• Bald Mountain Pharmacy Doing business as

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1578430625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 S LAPEER RD STE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601421",
            "telephone_number": "248-607-0205",
            "fax_number": "248-607-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S LAPEER RD STE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601421",
            "telephone_number": "248-607-0205",
            "fax_number": "248-607-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALD MOUNTAIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "KALJAJ",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "248-607-0205",
        "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": [
        {
            "organization_name": "Bald Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Diane Baker, RPH
• Manhal Goseif Bakka, PHARM D
• Apneet Kaur Bal, FNP-C
• Bald Mountain Diagnostic Imaging
• Bald Mountain Medical Pharmacy
• Elizabeth Anne Banet, DPT
• Alexandra Barnard
• Aminah Basir
• James J Bauer, MD
• Beacon Square Orion LLC (Pomeroy Living Orion Assisted & Memory Care)

• Community/Retail Pharmacy in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.