THOMAS J WICKSTROM RPH
NPI 1700167475
Pharmacist in Grand Rapids, MI

Active since September 07, 2011
3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 365-1221(616) 365-9996 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas J Wickstrom Rph NPPES

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

THOMAS J WICKSTROM RPH (NPI 1700167475) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302032441) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1700167475
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTHOMAS J WICKSTROMCredential: RPH
Location Address3610 PLAINFIELD AVE NEGrand Rapids, MI 49525-2402
Mailing Address3610 Plainfield Ave NeGrand Rapids, MI 49525-2402 · (616) 365-1221 · Fax (616) 365-9996
Fax(616) 365-9996
Sole ProprietorYes
Enumeration DateSeptember 7, 2011
NPI 1700167475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302032441
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.
3610 PLAINFIELD AVE NE, Grand Rapids, MI 49525

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.

Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacy
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525

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 Thomas Wickstrom's NPI number?

The NPI number for Thomas Wickstrom is 1700167475. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Thomas Wickstrom located?

Thomas Wickstrom practices at 3610 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 365-1221.

What is Thomas Wickstrom'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 Thomas Wickstrom was last updated on September 7, 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.