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

Matthew Hickson

Individual provider Pharmacist · NPI 1417824038

Matthew Hickson is a Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302417651 (MI)

Record details

NPI number1417824038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address8731 Flat Creek Dr Unit K, Rockford, MI 49341-8945

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