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

Kentwood Pharmacy LLC

Organization Pharmacy · NPI 1225352909

Kentwood Pharmacy LLC is a Pharmacy in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
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

2026 Boston St SE
Grand Rapids, MI 49506
Phone: (616) 452-9734
Fax: (616) 452-7255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 5301009297 (MI)

Record details

NPI number1225352909
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKentwood Pharmacy LLC
Authorized official Kim Mulder — Ceo · (616) 827-9100
NPI enumeratedMarch 24, 2010
Last updated in NPPESMarch 24, 2010
Mailing address2480 44th St Se, Grand Rapids, MI 49512

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