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MR. LARRY ANDREW CUSTER R.PH.
NPI 1730330341
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Rapids, MI

Active since October 02, 2008
1925 BRETON RD SE, SUITE 202, GRAND RAPIDS, MI 49506(616) 252-4757(616) 252-0724 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry Andrew Custer R.ph. NPPES

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

MR. LARRY ANDREW CUSTER R.PH. (NPI 1730330341) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Grand Rapids, Michigan, licensed in Missouri (024244) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1730330341
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. LARRY ANDREW CUSTERCredential: R.PH.
Location Address1925 BRETON RD SE, SUITE 202Grand Rapids, MI 49506-4810
Mailing Address1925 Breton Rd Se, Suite 202Grand Rapids, MI 49506-4810 · (616) 252-4757 · Fax (616) 252-0724
Phone(616) 252-4757
Fax(616) 252-0724
Sole ProprietorYes
Enumeration DateOctober 2, 2008
✔ NPI 1730330341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MO · 024244
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1925 BRETON RD SE, Grand Rapids, MI 49506
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Other Providers at the Same Location NPPES 4

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

METROPOLITAN HOSPITAL
Registered Nurse
1925 BRETON RD SE
GRAND RAPIDS, MI 49506
Kent County (616) 252-4100
DR. WALTER LEE IRVING D.O.
Obstetrics & Gynecology
1925 BRETON RD SE
GRAND RAPIDS, MI 49506
Kent County (616) 252-4100
MARY L WISNIEWSKI PA-C
Physician Assistant
1925 BRETON RD SE
GRAND RAPIDS, MI 49506
Kent County (616) 252-4100
MRS. MEGHAN MARIE SUMMEY PA-C
Physician Assistant
1925 BRETON RD SE
GRAND RAPIDS, MI 49506
Kent County (616) 252-4100

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 Larry Custer's NPI number?

The NPI number for Larry Custer is 1730330341. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Larry Custer located?

Larry Custer practices at 1925 Breton Rd SE Suite 202, Grand Rapids, MI 49506. The listed phone number is (616) 252-4757.

What is Larry Custer's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Larry Custer was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.