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JOSEPH A MITIDIERI RPH
NPI 1639455736
Pharmacist in Kentwood, MI

Active since November 02, 2011
6020 KALAMAZOO AVE SE, KENTWOOD, MI 49508(616) 698-9165 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph A Mitidieri Rph NPPES

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

JOSEPH A MITIDIERI RPH (NPI 1639455736) is an individual pharmacist in Kentwood, Michigan, licensed in Michigan (5302028142) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1639455736
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJOSEPH A MITIDIERICredential: RPH
Location Address6020 KALAMAZOO AVE SEKentwood, MI 49508-7018
Mailing Address5464 Discovery Dr SeKentwood, MI 49508-6650 · (616) 292-2216
Phone(616) 698-9165
Sole ProprietorYes
Enumeration DateNovember 2, 2011
✔ NPI 1639455736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MI · 5302028142
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.
6020 KALAMAZOO AVE SE, Kentwood, MI 49508
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Other Providers at the Same Location NPPES 6

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

ASHLEY MARIE HILL CPHT
Pharmacy Technician
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165
KASSANDRA PERUSKI PHARM.D.
Pharmacist
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165
DR. SCOTT BERGMAN PHARMD
Pharmacist
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165
WALGREEN CO
Pharmacy
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165
MS. CHRISTIE MARTINEZ RPH
Pharmacist
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165
WILLIAM DUVALL ANDERT PHARMD
Pharmacist
6020 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 698-9165

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 Joseph Mitidieri's NPI number?

The NPI number for Joseph Mitidieri is 1639455736. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Joseph Mitidieri located?

Joseph Mitidieri practices at 6020 Kalamazoo Ave SE, Kentwood, MI 49508. The listed phone number is (616) 698-9165.

What is Joseph Mitidieri'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 Joseph Mitidieri was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.