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: July 19, 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


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Family Medicine
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Adult Mental Health)
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
Social Worker (Clinical)
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
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629919212, enumerated as an "individual" on April 06, 2026.

The provider is located at 100 CHERRY ST SE GRAND RAPIDS, MI 49503 and the phone number is (906) 440-9167.

Pharmacist with taxonomy code 183500000X.