CASSIDY VAN DYKE
NPI 1629919212
Pharmacist in Grand Rapids, MI

Active since April 06, 2026
100 CHERRY ST SE, GRAND RAPIDS, MI 49503(906) 440-9167 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassidy Van Dyke NPPES

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

CASSIDY VAN DYKE (NPI 1629919212) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5351017977) and active in the NPI registry since April 2026. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1629919212
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCASSIDY VAN DYKE
Location Address100 CHERRY ST SEGrand Rapids, MI 49503-4526
Mailing Address3017 Springbrook Dr NwGrand Rapids, MI 49544-6907 · (906) 440-9167
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1629919212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5351017977
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.
100 CHERRY ST SE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 12022 Apple Orchard Dr NEGrand Rapids, MI 49525-9785 · Phone (906) 440-9167

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.

Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Community Health Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Optometrist
100 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Cassidy Van Dyke's NPI number?

The NPI number for Cassidy Van Dyke is 1629919212. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Cassidy Van Dyke located?

Cassidy Van Dyke practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (906) 440-9167.

What is Cassidy Van Dyke's specialty?

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

When was this NPI record last updated?

The NPPES record for Cassidy Van Dyke was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.