Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Bridge Specialty Pharmacy, LLC

Organization Home Infusion Agency · NPI 1225920168

Blue Bridge Specialty Pharmacy, LLC is a Home Infusion Agency in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Kenmoor Ave SE Ste 102
Grand Rapids, MI 49546-8626
Phone: (616) 280-4211
Fax: (616) 280-4214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Therapy Pharmacy (primary) Taxonomy 3336H0001X
Home Infusion Agency Taxonomy 251F00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1225920168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Bloomquist — Owner · (616) 280-4211
Other names Vital Care Of Grand Rapids
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626

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