OrganizationActiveAccepts Medicare
Saint Marys Family Pharmacy
NPI 1679519581 · Community/Retail Pharmacy · Grand Rapids, MI
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1679519581
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Casalou, President/Ceo(734) 712-3792
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 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
360 Division Ave S
Ste 1a
Grand Rapids, MI 49503-4501
Phone: (616) 685-1147
Fax: (616) 685-1145
Street-level locationGet directions
Mailing address
360 Division Ave S
Grand Rapids, MI 49503-4501
Other names (DBA / former)
- Doing business as
- Mercy Health Pharmacy-Cathedral Square
- Doing business as
- Trinity Health Pharmacy - Cathedral Square
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.