Individual provider · Type 1 NPI

Maya Pedersen, PharmD

Pharmacist · Grand Rapids, MI

NPI number 1952218893 Active

Practice location

600 Jefferson Ave SE
Grand Rapids, MI 49503-5218

Mailing address

13510 Walking Stick Ln
Chardon, OH 44024-9245

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X03446822 (OH)
Pharmacist Primary 183500000X5302418900 (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…

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About NPI 1952218893

Maya Pedersen, PharmD's National Provider Identifier is 1952218893, issued on Aug 26, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 26, 2026.