Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417824038 Individual Practitioner Male Practitioner

Matthew Hickson

Pharmacist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Matthew Hickson is a registered healthcare professional specializing in Pharmacist in Grand Rapids, MI. Practice services are available at 100 MICHIGAN ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Michigan St Ne

Grand Rapids, MI 495032560

Telephone 6163911774
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1922090554

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

CMS Verified: 2025-10-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302417651

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

39 Associated Practitioners
Dr. Joshua Greendyk , MD

Internal Medicine

NPI 1033057344

Doctor of Medicine (M.D.)

Brent Zukoff , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053772434

Certified Registered Nurse Anesthetist

Jamie Blake

Occupational Therapist

NPI 1063915627
Perry Robson , BSN

Registered Nurse

NPI 1124985684

Bachelor of Science in Nursing

Annica Cole

Occupational Therapist

NPI 1134997976
Chelsea Peterson , NP

Nurse Practitioner

NPI 1174016521

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2025

Registered at 100 MICHIGAN ST NE, GRAND RAPIDS, MI 495032560 (Tel: 6163911774)

📍
Updated Business Mailing Address October 20, 2025

Registered at 8731 FLAT CREEK DR UNIT K, ROCKFORD, MI 493418945 (Tel: 2316299816)

👤
Provider Name / Credentials Updated October 20, 2025

Recorded as MATTHEW HICKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2025

Pharmacist (License #5302417651 in MI)

🟢
Initial NPI Registration & Enumeration October 20, 2025

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: 1417824038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2025
Last Update: October 20, 2025
Sole Proprietor: No

Mailing Address

8731 Flat Creek Dr Unit K

Rockford, MI 493418945

Phone: 2316299816

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.