Individual provider · Type 1 NPI

Cassidy Van Dyke

Pharmacist · Jenison, MI

NPI number 1629919212 Active

Practice location

378 Baldwin St
Jenison, MI 49428-7909

Other practice locations

  • 2022 Apple Orchard Dr NE, Grand Rapids, MI 49525-9785 · (906) 440-9167

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302419227 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1629919212

Cassidy Van Dyke's National Provider Identifier is 1629919212, issued on Apr 6, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jenison, MI. The record was last updated on Aug 21, 2026.