What is Thomas Wickstrom's NPI number?

Thomas Wickstrom's National Provider Identifier (NPI) is 1700167475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Thomas Wickstrom's specialty?

Thomas Wickstrom is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Thomas Wickstrom located?

Thomas Wickstrom's practice location on file with NPPES is 3610 Plainfield Ave Ne, Grand Rapids, MI 49525-2402.

What is Thomas Wickstrom's phone number?

The practice phone number listed in the NPPES registry for Thomas Wickstrom is (616) 365-1221.

Is Thomas Wickstrom's NPI active?

Yes — Thomas Wickstrom's NPI (1700167475) is active in the NPPES registry as of the last update on 2011-09-07.

IndividualActive

Thomas Wickstrom, RPH

NPI 1700167475 · Pharmacist · Grand Rapids, MI

Thomas Wickstrom, RPH is a Pharmacist provider in Grand Rapids, MI (NPI 1700167475).

Provider details

NPI number: 1700167475
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: Yes
License: 5302032441 (MI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 5302032441 (MI)
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

3610 Plainfield Ave Ne

Grand Rapids, MI 49525-2402

Phone: (616) 365-1221

Fax: (616) 365-9996

Street-level locationGet directions

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Mailing address