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

Cory Jon Driesenga, RPH

Individual provider Pharmacist · NPI 1881376259

Cory Jon Driesenga, RPH is a Pharmacist in Kentwood, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5225 Eastern Ave SE
Kentwood, MI 49508-6009
Phone: (616) 261-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302415311 (MI)

Record details

NPI number1881376259
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address6681 E Mill Run Se, Caledonia, MI 49316-9157

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