OrganizationActive
Kentwood Pharmacy
NPI 1760638019 · Long Term Care Pharmacy · Saint Louis, MI
Provider details
- NPI number
- 1760638019
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Downer, Accounts Payable(616) 827-9100
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
116 N Mill St
Saint Louis, MI 48880-1521
Phone: (989) 681-6633
Fax: (989) 681-6644
Street-level locationGet directions
Mailing address
2480 44th St Se
Kentwood, MI 49512-9090
Other names (DBA / former)
- Doing business as
- Kentwood Pharmacy
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2010-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.