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

Scott Peckham

Individual provider Pharmacist · NPI 1518725449

Scott Peckham is a Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

3610 Plainfield Ave NE
Grand Rapids, MI 49525-2402
Phone: (616) 365-1221
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302414622 (MI)

Record details

NPI number1518725449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address1405 Delmonte St, Wolverine Lake, MI 48390-1912

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