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BLUE BRIDGE SPECIALTY PHARMACY, LLC
NPI 1225920168
Pharmacy - Home Infusion Therapy Pharmacy in Grand Rapids, MI

Active since July 16, 2025
630 KENMOOR AVE SE STE 102, GRAND RAPIDS, MI 49546(616) 280-4211(616) 280-4214 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Bridge Specialty Pharmacy, Llc NPPES

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

BLUE BRIDGE SPECIALTY PHARMACY, LLC (NPI 1225920168), doing business as Vital Care Of Grand Rapids, is a healthcare organization registered as a home infusion therapy pharmacy in Grand Rapids, Michigan and active in the NPI registry since July 2025. The organization lists Max Bloomquist, Owner, as its authorized official.

NPPES Registry Identity

NPI1225920168
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NameBLUE BRIDGE SPECIALTY PHARMACY, LLC
Location Address630 KENMOOR AVE SE STE 102Grand Rapids, MI 49546-8626
Mailing Address630 Kenmoor Ave Se Ste 102Grand Rapids, MI 49546-8626 · (616) 280-4211 · Fax (616) 280-4214
Phone(616) 280-4211
Fax(616) 280-4214
Organization SubpartNo
Authorized OfficialMax BloomquistOwner · (616) 280-4211
Enumeration DateJuly 16, 2025
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1225920168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
630 KENMOOR AVE SE STE 102, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsVital Care Of Grand Rapids

Accepted Insurance

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

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 Blue Bridge Specialty Pharmacy, LLC's NPI number?

The NPI number for Blue Bridge Specialty Pharmacy, LLC is 1225920168. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is doing business as Vital Care of Grand Rapids.

Where is Blue Bridge Specialty Pharmacy, LLC located?

Blue Bridge Specialty Pharmacy, LLC is located at 630 Kenmoor Ave SE Ste 102, Grand Rapids, MI 49546. The listed phone number is (616) 280-4211.

What is Blue Bridge Specialty Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

What insurance does Blue Bridge Specialty Pharmacy, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 20 other insurers list Blue Bridge Specialty 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 Blue Bridge Specialty Pharmacy, LLC was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.