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

Joseph A Mitidieri, RPH

Individual provider Pharmacist · NPI 1639455736

Joseph A Mitidieri, RPH is a Pharmacist in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

6020 Kalamazoo Ave SE
Kentwood, MI 49508-7018
Phone: (616) 698-9165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302028142 (MI)

Record details

NPI number1639455736
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address5464 Discovery Dr Se, Kentwood, MI 49508-6650

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