IndividualActive
Evan Odriscoll, RPH
NPI 1104681519 · Pharmacist · Grand Rapids, MI
Evan Odriscoll, RPH is a Pharmacist provider in Grand Rapids, MI (NPI 1104681519).
Provider details
- NPI number
- 1104681519
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 5302415842 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3610 Plainfield Ave Ne
Grand Rapids, MI 49525-2402
Phone: (906) 241-6960
Street-level locationGet directions
Mailing address
1231 Hamilton Ave Nw
Grand Rapids, MI 49504-3222
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Frequently asked questions
- What is Evan Odriscoll's NPI number?
- Evan Odriscoll's National Provider Identifier (NPI) is 1104681519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Odriscoll's specialty?
- Evan Odriscoll is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Evan Odriscoll located?
- Evan Odriscoll's practice location on file with NPPES is 3610 Plainfield Ave Ne, Grand Rapids, MI 49525-2402.
- What is Evan Odriscoll's phone number?
- The practice phone number listed in the NPPES registry for Evan Odriscoll is (906) 241-6960.
- Is Evan Odriscoll's NPI active?
- Yes — Evan Odriscoll's NPI (1104681519) is active in the NPPES registry as of the last update on 2024-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.