MIDTOWNE PHARMACY
NPI 1700102993
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Active since April 13, 2010
555 MIDTOWNE ST NE, SUITE 103, GRAND RAPIDS, MI 49503(616) 554-1964 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About MIDTOWNE PHARMACY

This page provides the complete NPI Profile along with additional information for Midtowne Pharmacy, a provider established in Grand Rapids, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1700102993 assigned on April 2010. The practitioner's primary taxonomy code is 3336C0003X with license number 5301009298 (MI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Kim Mulder (Ceo)

NPI
1700102993 Verify this NPI
Provider Name
MIDTOWNE PHARMACY
Entity Type
Organization
Location Address
555 MIDTOWNE ST NE SUITE 103 GRAND RAPIDS, MI 49503
Location Phone
(616) 554-1964
Mailing Address
555 MIDTOWNE ST NE SUITE 103 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 554-1964
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2010
Last Update Date
07-30-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301009298
License State
MI
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KIM MULDER

Authorized Official Title
CEO
Authorized Official Phone
(616) 827-9100

Reviews for MIDTOWNE PHARMACY

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 400
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 400
GRAND RAPIDS, MI 49503
Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Cardiology)
555 MIDTOWNE ST NE, SUITE 310
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 400
GRAND RAPIDS, MI 49503
Physician Assistant
555 MIDTOWNE ST NE
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 400
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700102993, enumerated as an "organization" on April 13, 2010.

The provider is located at 555 MIDTOWNE ST NE SUITE 103 GRAND RAPIDS, MI 49503 and the phone number is (616) 554-1964.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.