OrganizationActive
Tom'S Pharmacy LLC
NPI 1174612618 · Pharmacy · Portland, MI
Tom'S Pharmacy LLC is a Pharmacy organization in Portland, MI (NPI 1174612618).
Provider details
- NPI number
- 1174612618
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Steve Antaya, Vice President(517) 647-4861
- License
- 5301007164 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1462 E Grand River Ave
Portland, MI 48875
Phone: (517) 647-4861
Fax: (517) 647-0078
Street-level locationGet directions
Mailing address
1462 E Grand River Ave
Portland, MI 48875-1632
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2018-12-14
Frequently asked questions
- What is Tom'S Pharmacy LLC's NPI number?
- Tom'S Pharmacy LLC's National Provider Identifier (NPI) is 1174612618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tom'S Pharmacy LLC?
- Tom'S Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Tom'S Pharmacy LLC located?
- Tom'S Pharmacy LLC's practice location on file with NPPES is 1462 E Grand River Ave, Portland, MI 48875.
- What is Tom'S Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Tom'S Pharmacy LLC is (517) 647-4861.
- Who is the authorized official for Tom'S Pharmacy LLC?
- The authorized official listed on Tom'S Pharmacy LLC's NPPES record is Steve Antaya, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tom'S Pharmacy LLC's NPI active?
- Yes — Tom'S Pharmacy LLC's NPI (1174612618) is active in the NPPES registry as of the last update on 2018-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.