IndividualActive
Joseph Mitidieri, RPH
NPI 1639455736 · Pharmacist · Kentwood, MI
Joseph Mitidieri, RPH is a Pharmacist provider in Kentwood, MI (NPI 1639455736).
Provider details
- NPI number
- 1639455736
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5302028142 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 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
6020 Kalamazoo Ave Se
Kentwood, MI 49508-7018
Phone: (616) 698-9165
Street-level locationGet directions
Mailing address
5464 Discovery Dr Se
Kentwood, MI 49508-6650
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2011-11-02
Frequently asked questions
- What is Joseph Mitidieri's NPI number?
- Joseph Mitidieri's National Provider Identifier (NPI) is 1639455736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joseph Mitidieri's specialty?
- Joseph Mitidieri is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Joseph Mitidieri located?
- Joseph Mitidieri's practice location on file with NPPES is 6020 Kalamazoo Ave Se, Kentwood, MI 49508-7018.
- What is Joseph Mitidieri's phone number?
- The practice phone number listed in the NPPES registry for Joseph Mitidieri is (616) 698-9165.
- Is Joseph Mitidieri's NPI active?
- Yes — Joseph Mitidieri's NPI (1639455736) is active in the NPPES registry as of the last update on 2011-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.