OrganizationActive
Midtowne Pharmacy
NPI 1700102993 · Community/Retail Pharmacy · Grand Rapids, MI
Midtowne Pharmacy is a Community/Retail Pharmacy organization in Grand Rapids, MI (NPI 1700102993).
Provider details
- NPI number
- 1700102993
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kim Mulder, Ceo(616) 827-9100
- License
- 5301009298 (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
555 Midtowne St Ne
Suite 103
Grand Rapids, MI 49503-5729
Phone: (616) 554-1964
Approximate (ZIP-level) locationGet directions
Mailing address
555 Midtowne St Ne
Grand Rapids, MI 49503-5729
Registry dates
- Enumerated
- 2010-04-13
- Last updated
- 2010-07-30
Frequently asked questions
- What is Midtowne Pharmacy's NPI number?
- Midtowne Pharmacy's National Provider Identifier (NPI) is 1700102993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midtowne Pharmacy?
- Midtowne Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Midtowne Pharmacy located?
- Midtowne Pharmacy's practice location on file with NPPES is 555 Midtowne St Ne, Grand Rapids, MI 49503-5729.
- What is Midtowne Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Midtowne Pharmacy is (616) 554-1964.
- Who is the authorized official for Midtowne Pharmacy?
- The authorized official listed on Midtowne Pharmacy's NPPES record is Kim Mulder, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midtowne Pharmacy's NPI active?
- Yes — Midtowne Pharmacy's NPI (1700102993) is active in the NPPES registry as of the last update on 2010-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.