Little Mack Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LITTLE MACK PHARMACY LLC

Doing business as

ADS - Roseville

Practice address

30695 Little Mack Ave Ste 100
Roseville, MI 48066-1781

Phone

(586) 981-0958

Fax

(586) 981-0956

NPI assigned

Jul 9, 2025

Last updated

Feb 9, 2026By 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

Abbas Mansour

Title

Owner

Phone

(586) 981-0958

Specialties & licenses 1

Addresses

Other names 1

• ADS - Roseville Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1912897984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 E 12 MILE RD # 104",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883751",
            "telephone_number": "586-981-0958",
            "fax_number": "586-981-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661781",
            "telephone_number": "586-981-0958",
            "fax_number": "586-981-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-981-0958"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADS - Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel A Lepri, DDS
• Jennifer Lichtman, CAADC
• Julie Liedel
• Cody Ling
• Lisa a. Price D.C.P.C.
• Live Rite Structured Recovery Corp
• Louay Mansour DDS PC
• Love Family Caring Hands
• Deborah Love
• Norma Faye Lowery, NP

• Community/Retail Pharmacy in Roseville, MI
• Providers in Roseville, 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 Feb 9, 2026; 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.