IndividualActive
Dominique Patthanachardenphon, PHARM.D.
NPI 1871618967 · Pharmacist · Grand Rapids, MI
Dominique Patthanachardenphon, PHARM.D. is a Pharmacist provider in Grand Rapids, MI (NPI 1871618967).
Provider details
- NPI number
- 1871618967
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 051-289748 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 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
665 Seward Ave Nw Ste 320
Grand Rapids, MI 49504-5190
Phone: (616) 267-7029
Street-level locationGet directions
Mailing address
665 Seward Ave Nw # Suite 320
Grand Rapids, MI 49504-5190
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2017-06-14
Frequently asked questions
- What is Dominique Patthanachardenphon's NPI number?
- Dominique Patthanachardenphon's National Provider Identifier (NPI) is 1871618967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Patthanachardenphon's specialty?
- Dominique Patthanachardenphon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dominique Patthanachardenphon located?
- Dominique Patthanachardenphon's practice location on file with NPPES is 665 Seward Ave Nw Ste 320, Grand Rapids, MI 49504-5190.
- What is Dominique Patthanachardenphon's phone number?
- The practice phone number listed in the NPPES registry for Dominique Patthanachardenphon is (616) 267-7029.
- Is Dominique Patthanachardenphon's NPI active?
- Yes — Dominique Patthanachardenphon's NPI (1871618967) is active in the NPPES registry as of the last update on 2017-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.