OrganizationActive
Kentwood Pharmacy LLC
NPI 1225352909 · Pharmacy · Grand Rapids, MI
Kentwood Pharmacy LLC is a Pharmacy organization in Grand Rapids, MI (NPI 1225352909).
Provider details
- NPI number
- 1225352909
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Kentwood Pharmacy LLC
- Organization subpart
- Yes
- Authorized official
- Kim Mulder, Ceo(616) 827-9100
- License
- 5301009297 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2026 Boston St. Se
Grand Rapids, MI 49506
Phone: (616) 452-9734
Fax: (616) 452-7255
Street-level locationGet directions
Mailing address
2480 44th St Se
Grand Rapids, MI 49512
Registry dates
- Enumerated
- 2010-03-24
- Last updated
- 2010-03-24
Frequently asked questions
- What is Kentwood Pharmacy LLC's NPI number?
- Kentwood Pharmacy LLC's National Provider Identifier (NPI) is 1225352909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentwood Pharmacy LLC?
- Kentwood Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Kentwood Pharmacy LLC located?
- Kentwood Pharmacy LLC's practice location on file with NPPES is 2026 Boston St. Se, Grand Rapids, MI 49506.
- What is Kentwood Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Kentwood Pharmacy LLC is (616) 452-9734.
- Who is the authorized official for Kentwood Pharmacy LLC?
- The authorized official listed on Kentwood Pharmacy LLC's NPPES record is Kim Mulder, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentwood Pharmacy LLC's NPI active?
- Yes — Kentwood Pharmacy LLC's NPI (1225352909) is active in the NPPES registry as of the last update on 2010-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.