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

Mitchell Cavanaugh

Individual provider Ambulatory Care Pharmacist · NPI 1932667144

Mitchell Cavanaugh is an Ambulatory Care Pharmacist in Jenison, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

7782 20th Ave
Jenison, MI 49428-8524
Phone: (616) 685-8700
Show map & directions

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

Additional practice locations (1)

  • 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 — (616) 685-5000

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence 5302412556 (MI)

Record details

NPI number1932667144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address200 Jefferson Ave Se, Grand Rapids, MI 49503-4502