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

Cassidy Van Dyke

Individual provider Pharmacist · NPI 1629919212

Cassidy Van Dyke is a Pharmacist in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone: (906) 440-9167
Show map & directions

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

Additional practice locations (1)

  • 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 — (906) 440-9167

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5351017977 (MI)

Record details

NPI number1629919212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address3017 Springbrook Dr Nw, Grand Rapids, MI 49544-6907

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