MITCHELL CAVANAUGH
NPI 1932667144
Pharmacist - Ambulatory Care in Jenison, MI

Q: What is Mitchell Cavanaugh's NPI number?

The NPI number for Mitchell Cavanaugh is 1932667144. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Q: What is Mitchell Cavanaugh's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

Active since March 06, 2019

7782 20TH AVE, JENISON, MI 49428(616) 685-8700 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2021, Aug 6, 2021, Mar 6, 2019 (3 updates tracked since 2019).

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About Mitchell Cavanaugh NPPES

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

MITCHELL CAVANAUGH (NPI 1932667144) is an individual ambulatory care provider in Jenison, Michigan, licensed in Michigan (5302412556) and active in the NPI registry since March 2019. He maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1932667144

Entity TypeIndividualMale

Primary Taxonomy1835P2201X

Provider Legal NameMITCHELL CAVANAUGH

Location Address7782 20TH AVEJenison, MI 49428-8524

Mailing Address200 Jefferson Ave SeGrand Rapids, MI 49503-4502 · (616) 685-5000

Phone(616) 685-8700

Sole ProprietorNo

Enumeration DateMarch 6, 2019

Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1932667144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers

Taxonomy Code1835P2201X

License✔ Licensed in MI · 5302412556

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

7782 20TH AVE, Jenison, MI 49428

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Secondary Practice Location 1

Location 1200 Jefferson Ave SEGrand Rapids, MI 49503-4502 · Phone (616) 685-5000

Other Identifiers 2

Other5315219725MI · Controlled Substance License

Other5302412556MI · Pharmacist License

Other Providers at the Same Location NPPES 11

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

AMY RENEE HENNE MD

Family Medicine