Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104146596 Individual Practitioner Male Practitioner

Kent Frances Dickerson , RPH

Pharmacist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Kent Dickerson, RPH is a registered healthcare professional specializing in Pharmacist in Grand Rapids, MI. Practice services are available at 2036 LAKE MICHIGAN DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2036 Lake Michigan Dr Nw

Grand Rapids, MI 495044743

Telephone 6164538750
Fax 6164530107

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
390 Specialists

Practicing in Grand Rapids, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302031457

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Alaina Huynh

Pharmacist

NPI 1003105586
Sandy Tran

Pharmacist

NPI 1144878406
NPI 1326330325

Registered Pharmacist

NPI 1366812083

Doctor of Pharmacy (Pharm.D.)

NPI 1407260086

Doctor of Pharmacy (Pharm.D.)

NPI 1518560424

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2010

Registered at 2036 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 495044743 (Tel: 6164538750)

📍
Updated Business Mailing Address June 08, 2010

Registered at 2036 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 495044743 (Tel: 6164538750)

👤
Provider Name / Credentials Updated June 08, 2010

Recorded as KENT DICKERSON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2010

Pharmacist (License #5302031457 in MI)

🟢
Initial NPI Registration & Enumeration June 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104146596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2010
Last Update: June 08, 2010
Sole Proprietor: No

Mailing Address

2036 Lake Michigan Dr Nw

Grand Rapids, MI 495044743

Phone: 6164538750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.