Pontiac Trail Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Pontiac Trail Pharmacy Inc is a Community/Retail Pharmacy in Walled Lake, Michigan. It is located at 620 N. Pontiac Trail, Walled Lake and it's customer support contact number is 248-669-2776. The authorized person of Pontiac Trail Pharmacy Inc is Mr. Carl Robert Hendricks, R.PH who is Owner/r.ph. of the pharmacy and his contact number is 248-669-2776. Active license number of Pontiac Trail Pharmacy Inc is 5301004197 for Community/Retail Pharmacy in Michigan. Pontiac Trail Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Pontiac Trail Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Pontiac Trail Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Pontiac Trail Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
620 N. Pontiac Trail, Walled Lake, Michigan, 48390
Phone:
248-669-2776
Fax:
248-669-2835
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Carl Robert Hendricks
Credentials:
R.PH
Position:
Owner/r.ph.
Contact Number:
248-669-2776
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1902914377
NPI Enumeration Date:
27 Aug, 2006
NPI Last Update On:
01 Aug, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pontiac Trail Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
5301004197
Michigan
Primary
Long Term Care Pharmacy
Secondary
Health Service
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2338689
Medicaid
Michigan
1665835
Medicaid
Michigan
1649484
Medicaid
Michigan
2338689
Other
Other Id Number
Medicare Enrollment:
Pontiac Trail Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9638235880
O20090313000026
Pontiac Trail Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
9638235880
O20100930015121
Pontiac Trail Pharmacy Inc
DME SUPPLIER - PHARMACY
Products Available:
Pontiac Trail Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
43155 W. Nine Mile Rd., Novi, Michigan
Zip:
48376-8026
Phone Number:
--
Fax Number:
--
Patients can reach Pontiac Trail Pharmacy Inc at 620 N. Pontiac Trail, Walled Lake, Michigan or can call on customer care at 248-669-2776.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Walled Lake, Michigan
Bormans Inc Speciality:Pharmacy Address: 730 N Pontiac Trl, Walled Lake, MI Phone: 248-926-2902 Fax: 248-926-2916Pristine Medical Llc Speciality:Non-Pharmacy Dispensing Site Address: 1502 W West Maple Rd, Walled Lake, MI Phone: 248-207-4358 Woodward Detroit Cvs, L.l.c. Speciality:Community/Retail Pharmacy Address: 100 W West Maple Rd, Walled Lake, MI Phone: 248-624-4555 Fax: 248-624-0743