Kentwood Pharmacy in Grand Rapids - Pharmacist
Kentwood Pharmacy - NPI 1558478610
Kentwood Pharmacy is a Pharmacist in Grand Rapids, Michigan. Kentwood Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kentwood Pharmacy is 1558478610. The last update date is 2008-02-27.
Kentwood Pharmacy's current location address is 6680 Kalamazoo Avenue Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165541964 and fax number 6165543140. The mailing address for Kentwood Pharmacy is 6680 Kalamazoo Avenue Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kentwood Pharmacy |
|---|---|
| Address | 6680 Kalamazoo Avenue Se, Grand Rapids, Michigan |
| Phone Number | 6165541964 |
| Fax Number | 6165543140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mulder Kim |
| Telephone Number | 6168279100 |
NPI Number Detail
| NPI Number | 1558478610 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 6680 Kalamazoo Avenue Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49508 |
| Phone Number | 6165541964 |
| Fax Number | 6165543140 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5301007344 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200288790 | IN | -- | |
| 2362349 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kentwood Pharmacy?
The Kentwood Pharmacy has been issued the NPI (National Provider Identifier) 1558478610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kentwood Pharmacy's physical address?
The Kentwood Pharmacy is physically located at 6680 Kalamazoo Avenue Se, in the city of Grand Rapids, MI, with the postal code 49508.
What is Kentwood Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kentwood Pharmacy is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
When was the Kentwood Pharmacy's 1558478610 issued?
The Kentwood Pharmacy's 1558478610 was issued on 2006-08-24.
When was the Kentwood Pharmacy's information last updated?
The Kentwood Pharmacy's information was last updated on 2008-02-27.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK