Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSIDY VAN DYKE
NPI 1629919212
Pharmacist in Jenison, MI

Active since April 06, 2026
378 BALDWIN ST, JENISON, MI 49428(906) 440-9167 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Apr 6, 2026 (2 updates tracked since 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 Jenison, Michigan, licensed in Michigan (5302419227) 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 Address378 BALDWIN STJenison, MI 49428-7909
Mailing Address378 Baldwin StJenison, MI 49428-7909 · (906) 440-9167
Sole ProprietorNo
Enumeration DateApril 6, 2026
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 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 · 5302419227
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.
378 BALDWIN ST, Jenison, MI 49428

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 2

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

Pharmacist
378 BALDWIN ST
JENISON, MI 49428
Pharmacy
378 BALDWIN ST
JENISON, MI 49428

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 378 Baldwin St, Jenison, MI 49428. 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 August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.