Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700167475 Individual Practitioner Male Practitioner

Thomas J Wickstrom , RPH

Pharmacist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Thomas Wickstrom, RPH is a registered healthcare professional specializing in Pharmacist in Grand Rapids, MI. Practice services are available at 3610 PLAINFIELD AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3610 Plainfield Ave Ne

Grand Rapids, MI 495252402

Telephone 6163651221
Fax 6163659996
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1346255452

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 5302032441

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

20 Associated Practitioners
NPI 1063795011

Registered Pharmacist

Irene Omwega

Pharmacist

NPI 1235008632
Richard Grice

Pharmacist

NPI 1245874882
NPI 1285357327
NPI 1336816883

Doctor of Pharmacy (Pharm.D.)

NPI 1447533732

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2011

Registered at 3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 495252402 (Tel: 6163651221)

📍
Updated Business Mailing Address September 07, 2011

Registered at 3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 495252402 (Tel: 6163651221)

👤
Provider Name / Credentials Updated September 07, 2011

Recorded as THOMAS WICKSTROM, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Pharmacist (License #5302032441 in MI)

🟢
Initial NPI Registration & Enumeration September 07, 2011

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: 1700167475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2011
Last Update: September 07, 2011
Sole Proprietor: Yes

Mailing Address

3610 Plainfield Ave Ne

Grand Rapids, MI 495252402

Phone: 6163651221

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.