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KENTWOOD PHARMACY LLC
NPI 1225352909
Pharmacy in Grand Rapids, MI

Active since March 24, 2010
2026 BOSTON ST. SE, GRAND RAPIDS, MI 49506(616) 452-9734(616) 452-7255 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kentwood Pharmacy Llc NPPES

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

KENTWOOD PHARMACY LLC (NPI 1225352909) is a healthcare organization registered as a pharmacy in Grand Rapids, Michigan and active in the NPI registry since March 2010. The organization lists Kim Mulder, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225352909
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKENTWOOD PHARMACY LLC
Location Address2026 BOSTON ST. SEGrand Rapids, MI 49506
Mailing Address2480 44th St SeGrand Rapids, MI 49512 · (616) 827-9100 · Fax (616) 827-9116
Phone(616) 452-9734
Fax(616) 452-7255
Organization SubpartYes
Authorized OfficialKim MulderCeo · (616) 827-9100
Enumeration DateMarch 24, 2010
✔ NPI 1225352909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301009297
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.
2026 BOSTON ST. SE, Grand Rapids, MI 49506
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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 Kentwood Pharmacy LLC's NPI number?

The NPI number for Kentwood Pharmacy LLC is 1225352909. It was assigned to this organization in the NPPES registry on March 24, 2010.

Where is Kentwood Pharmacy LLC located?

Kentwood Pharmacy LLC is located at 2026 Boston St. SE, Grand Rapids, MI 49506. The listed phone number is (616) 452-9734.

What is Kentwood Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kentwood Pharmacy LLC was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.