EVAN JOHN ODRISCOLL RPH
NPI 1104681519
Pharmacist in Grand Rapids, MI

Q: What is Evan Odriscoll's NPI number?

The NPI number for Evan Odriscoll is 1104681519. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Q: What is Evan Odriscoll's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Odriscoll was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 14, 2024

3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(906) 241-6960 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Evan John Odriscoll Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN JOHN ODRISCOLL RPH (NPI 1104681519) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302415842) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1104681519

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameEVAN JOHN ODRISCOLLCredential: RPH

Location Address3610 PLAINFIELD AVE NEGrand Rapids, MI 49525-2402

Mailing Address1231 Hamilton Ave NwGrand Rapids, MI 49504-3222 · (906) 241-6960

Phone(906) 241-6960

Sole ProprietorNo

Enumeration DateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1104681519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MI · 5302415842

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3610 PLAINFIELD AVE NE, Grand Rapids, MI 49525

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS J WICKSTROM RPH

Pharmacist