OrganizationActive
Fuller Avenue Pharmacy
NPI 1922109214 · Community/Retail Pharmacy · Grand Rapids, MI
Fuller Avenue Pharmacy is a Community/Retail Pharmacy organization in Grand Rapids, MI (NPI 1922109214).
Provider details
- NPI number
- 1922109214
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jack Almassian, Owner(616) 363-3889
- License
- 5301002349 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 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
2355 Fuller Ave Ne
Grand Rapids, MI 49505-4367
Phone: (616) 363-3889
Street-level locationGet directions
Mailing address
2355 Fuller Ave Ne
Grand Rapids, MI 49505-4367
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fuller Avenue Pharmacy's NPI number?
- Fuller Avenue Pharmacy's National Provider Identifier (NPI) is 1922109214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fuller Avenue Pharmacy?
- Fuller Avenue Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fuller Avenue Pharmacy located?
- Fuller Avenue Pharmacy's practice location on file with NPPES is 2355 Fuller Ave Ne, Grand Rapids, MI 49505-4367.
- What is Fuller Avenue Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Fuller Avenue Pharmacy is (616) 363-3889.
- Who is the authorized official for Fuller Avenue Pharmacy?
- The authorized official listed on Fuller Avenue Pharmacy's NPPES record is Jack Almassian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fuller Avenue Pharmacy's NPI active?
- Yes — Fuller Avenue Pharmacy's NPI (1922109214) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.