Kentwood Pharmacy LLC
NPI 1225352909ActiveOrganization· Pharmacy· Grand Rapids, MI
Pharmacy in Grand Rapids, Michigan, registered in NPPES in March 2010, part of Kentwood Pharmacy LLC. The authorized official on file is Kim Mulder, Ceo.
Overview
| NPI | 1225352909 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kentwood Pharmacy LLC |
| NPI issued | Mar 24, 2010 |
| Last updated in NPPES | Mar 24, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 5301009297 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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