MIDTOWNE PHARMACY NPI 1700102993

NPI Information

  • NPI: 1700102993
  • Provider Name: MIDTOWNE PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 555 MIDTOWNE ST NE
    SUITE 103
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 554-1964

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NPI Details

MIDTOWNE PHARMACY is a community/retail pharmacy pharmacy in Grand Rapids, MI. The provider is 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. MIDTOWNE PHARMACY NPI is 1700102993. The provider is registered as an organization entity type.

The provider's business location address is:

555 MIDTOWNE ST NE
SUITE 103
GRAND RAPIDS, MI
ZIP 49503-729
Phone: (616) 554-1964

The provider's authorized official is Kim Mulder .
The authorized official title is Ceo and has the following contact phone number (616) 827-9100.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 7/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy5301009298MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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