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

Kevin Michael Deridder, PHARMD

Individual provider Pharmacist · NPI 1417236514

Kevin Michael Deridder, PHARMD is a Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

5859 28th St SE
Grand Rapids, MI 49546-6905
Phone: (616) 949-9892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302038129 (MI)

Record details

NPI number1417236514
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address6233 Blakely Dr Ne, Rockford, MI 49341-9611

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