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TOM'S PHARMACY LLC
NPI 1174612618
Pharmacy in Portland, MI

Active since October 12, 2006
1462 E GRAND RIVER AVE, PORTLAND, MI 48875(517) 647-4861(517) 647-0078 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tom's Pharmacy Llc NPPES

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

TOM'S PHARMACY LLC (NPI 1174612618) is a healthcare organization registered as a pharmacy in Portland, Michigan and active in the NPI registry since October 2006. The organization lists Steve Antaya, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174612618
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameTOM'S PHARMACY LLC
Location Address1462 E GRAND RIVER AVEPortland, MI 48875
Mailing Address1462 E Grand River AvePortland, MI 48875-1632 · (517) 647-4861 · Fax (517) 647-0078
Phone(517) 647-4861
Fax(517) 647-0078
Organization SubpartNo
Authorized OfficialSteve AntayaVice President · (517) 647-4861
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 14, 2018
✔ NPI 1174612618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301007164
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1462 E GRAND RIVER AVE, Portland, MI 48875
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Other Identifiers 1

Medicaid4196990MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

KRISTY ANN WITHROW
Pharmacist
1462 E GRAND RIVER AVE
PORTLAND, MI 48875
Ionia County (517) 930-1864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tom's Pharmacy LLC's NPI number?

The NPI number for Tom's Pharmacy LLC is 1174612618. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Tom's Pharmacy LLC located?

Tom's Pharmacy LLC is located at 1462 E Grand River Ave, Portland, MI 48875. The listed phone number is (517) 647-4861.

What is Tom's Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Tom's Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Tom's Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tom's Pharmacy LLC was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.