DR. TIMOTHY EDWARD BROEKHUIZEN PHARM.D
NPI 1730634429
Pharmacist in Grandville, MI

Q: What is Timothy Broekhuizen's NPI number?

The NPI number for Timothy Broekhuizen is 1730634429. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Timothy Broekhuizen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since August 23, 2016

4542 KENOWA AVE SW, GRANDVILLE, MI 49418(616) 667-9713(616) 667-9715 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Timothy Edward Broekhuizen Pharm.d NPPES

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

DR. TIMOTHY EDWARD BROEKHUIZEN PHARM.D (NPI 1730634429) is an individual pharmacist in Grandville, Michigan, licensed in Michigan (5302040726) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1730634429

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. TIMOTHY EDWARD BROEKHUIZENCredential: PHARM.D

Location Address4542 KENOWA AVE SWGrandville, MI 49418-9523

Mailing Address4542 Kenowa Ave SwGrandville, MI 49418-9523 · (616) 667-9713 · Fax (616) 667-9715

Phone(616) 667-9713

Fax(616) 667-9715

Sole ProprietorNo

Enumeration DateAugust 23, 2016

✔ NPI 1730634429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MI · 5302040726

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.

4542 KENOWA AVE SW, Grandville, MI 49418

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Other Identifiers 1

Other5302040726MI · State Board Of Pharmacy Registered Pharmacist License

Other Providers at the Same Location NPPES 13

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

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