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

Tom's Pharmacy LLC

Organization Pharmacy · NPI 1174612618

Tom's Pharmacy LLC is a Pharmacy in Portland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1462 E Grand River Ave
Portland, MI 48875
Phone: (517) 647-4861
Fax: (517) 647-0078
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 5301007164 (MI)

Record details

NPI number1174612618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve Antaya — Vice President · (517) 647-4861
NPI enumeratedOctober 12, 2006
Last updated in NPPESDecember 14, 2018
Mailing address1462 E Grand River Ave, Portland, MI 48875-1632