IndividualActive
Jerika Nguyen, PHARMD, BCPS, BCCCP
NPI 1164031860 · Pharmacist · Grand Rapids, MI
Provider details
- NPI number
- 1164031860
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCPS, BCCCP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RPH-0016027 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
525 Clancy Ave Ne Apt 120
Grand Rapids, MI 49503-1843
Phone: (616) 350-1555
Street-level locationGet directions
Mailing address
525 Clancy Ave Ne Apt 120
Grand Rapids, MI 49503-1843
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.