IndividualActive
Jonathan Wybo
NPI 1053741538 · Pharmacist · Grand Rapids, MI
Jonathan Wybo is a Pharmacist provider in Grand Rapids, MI (NPI 1053741538).
Provider details
- NPI number
- 1053741538
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302038653 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3181 Winans Street
Grand Rapids, MI 49534-9526
Phone: (248) 345-6142
Street-level locationGet directions
Mailing address
3181 Winans Street
Grand Rapids, MI 49534
Registry dates
- Enumerated
- 2013-11-19
- Last updated
- 2013-11-19
Frequently asked questions
- What is Jonathan Wybo's NPI number?
- Jonathan Wybo's National Provider Identifier (NPI) is 1053741538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Wybo's specialty?
- Jonathan Wybo is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jonathan Wybo located?
- Jonathan Wybo's practice location on file with NPPES is 3181 Winans Street, Grand Rapids, MI 49534-9526.
- What is Jonathan Wybo's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Wybo is (248) 345-6142.
- Is Jonathan Wybo's NPI active?
- Yes — Jonathan Wybo's NPI (1053741538) is active in the NPPES registry as of the last update on 2013-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.