OrganizationActive
Kentwood Pharmacy
NPI 1558478610 · Pharmacist · Grand Rapids, MI
Kentwood Pharmacy is a Pharmacist organization in Grand Rapids, MI (NPI 1558478610).
Provider details
- NPI number
- 1558478610
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Kim Mulder, Owner(616) 827-9100
- License
- 5301007344 (MI)
Specialties & taxonomies
Pharmacy Service Providers
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
6680 Kalamazoo Ave Se
Grand Rapids, MI 49508-7030
Phone: (616) 554-1964
Fax: (616) 554-3140
Street-level locationGet directions
Mailing address
6680 Kalamazoo Avenue Se
Grand Rapids, MI 49508
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2008-02-27
Frequently asked questions
- What is Kentwood Pharmacy's NPI number?
- Kentwood Pharmacy's National Provider Identifier (NPI) is 1558478610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentwood Pharmacy?
- Kentwood Pharmacy is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Kentwood Pharmacy located?
- Kentwood Pharmacy's practice location on file with NPPES is 6680 Kalamazoo Ave Se, Grand Rapids, MI 49508-7030.
- What is Kentwood Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Kentwood Pharmacy is (616) 554-1964.
- Who is the authorized official for Kentwood Pharmacy?
- The authorized official listed on Kentwood Pharmacy's NPPES record is Kim Mulder, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentwood Pharmacy's NPI active?
- Yes — Kentwood Pharmacy's NPI (1558478610) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.