IndividualActive
Kevin Deridder, PHARM.D
NPI 1417236514 · Pharmacist · Grand Rapids, MI
Kevin Deridder, PHARM.D is a Pharmacist provider in Grand Rapids, MI (NPI 1417236514).
Provider details
- NPI number
- 1417236514
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- No
- License
- 5302038129 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5859 28th St Se
Grand Rapids, MI 49546-6905
Phone: (616) 949-9892
Street-level locationGet directions
Mailing address
6233 Blakely Dr Ne
Rockford, MI 49341-9611
Registry dates
- Enumerated
- 2011-08-08
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Kevin Deridder's NPI number?
- Kevin Deridder's National Provider Identifier (NPI) is 1417236514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Deridder's specialty?
- Kevin Deridder is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kevin Deridder located?
- Kevin Deridder's practice location on file with NPPES is 5859 28th St Se, Grand Rapids, MI 49546-6905.
- What is Kevin Deridder's phone number?
- The practice phone number listed in the NPPES registry for Kevin Deridder is (616) 949-9892.
- Is Kevin Deridder's NPI active?
- Yes — Kevin Deridder's NPI (1417236514) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.