DYKSTRA DRUG STORE


Address: 91 Douglas Ave, Holland, MI 49424-2188
Phone: 6163928130

DYKSTRA DRUG STORE (NPI# 1922058908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922058908
Entity Type Organization
Organization Name DYKSTRA DRUG STORE
Practice Address 91 Douglas Ave
Holland
MI 49424-2188
Mailing Address 91 Douglas Ave
Po Box 8249
Holland
MI 49424-2188
Practice Telephone 6163928130
Practice Fax Number 6163928025
Mailing Telephone 6163928130
Mailing Fax Number 6163928025
Enumeration Date 2006-05-11
Last Update Date 2020-08-22
Authorized Official Name MR. THOMAS D KLAASEN (OWNER/PRESIDENT)
Authorized Official Telephone 6163928130
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301001241 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI NCPDP 2328587 01
MI 2328587 05
MI 4294122 05

Office Location

Street Address 91 DOUGLAS AVE
City HOLLAND
State MI
Zip Code 49424-2188

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669839494 Medexpress Urgent Care, PC - Michigan Emergency Medicine 91 Douglas Ave, Suite 110, Holland, MI 49424-2183 2016-01-25
1255372066 Nephew Services, LLC Physical Therapist 91 Douglas Ave, Suite 140, Holland, MI 49424-2188 2006-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194290999 Anderson Family and Cosmetic Dentistry Dentist 453 136th Ave., Holland, MI 49424 2018-10-08
1487139663 Maria C. Hoekstra Dds, P.C. Dentist 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 2018-10-03
1871024000 Derek Schaaf Rehabilitation Practitioner 13835 Foxtrail Dr., Holland, MI 49424 2017-03-21
1699227397 Tabitha Margritz Optometrist 2279 N Park Drive #910, Holland, MI 49424 2016-10-28
1619373701 Miller Chiropractic LLC Chiropractor 84 East Lakewood Boulevard, Holland, MI 49424 2014-11-17
1891107611 Nathan B. Poel Dentist 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 2014-05-28
1477990802 Jeanine Hamilton Speech-Language Pathologist 1576 Eb Creek Dr., Holland, MI 49424 2013-05-24
1194062638 Stefan John Kuipers Physician Assistant 3100 Wellness Dr, Holland, MI 49424 2013-01-03
1902155690 Benjamin Eovaldi General Practice 376 Mayfair St., Holland, MI 49424 2012-09-10
1295017929 Employee Assistance Center Garden Psychologist 372 Garden, Holland, MI 49424 2011-09-20
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770595670 Model Drug Store Pharmacy 35 W 8th St, Holland, MI 49423-3102 2006-08-12
1992710008 Walgreen Co Pharmacy 780 Washington Ave, Holland, MI 49423-7131 2006-07-29
1457977514 Pgpa LLC Pharmacy 285 James St, Holland, MI 49424-1849 2020-06-24
1982264826 Cancer & Hematology Centers of Western Mi, P.C. Pharmacy 12460 Riley St, Holland, MI 49424-8217 2019-06-13
1720599228 Route 16 Pharmacy, LLC Pharmacy 19 N Main St, Holland, NY 14080-9509 2017-10-24
1427355767 Injury Med Express Pharmacy 6920 Hall St, Suite #2, Holland, OH 43528-9485 2011-02-23
1578622676 Prevos Family Markets, Inc Pharmacy 50 Douglas Ave, Holland, MI 49424-2198 2006-12-06
1013017342 Family Fare, LLC Pharmacy 993 Butternut Dr, Holland, MI 49424-1552 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477389 Rose Rex LLC Pharmacy 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 2020-11-08
1508466194 Grand Gratiot Pharmacy, LLC Pharmacy 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 2020-10-31
1104424530 Advance Care Rx, LLC Pharmacy 500 N Cass St, Berrien Springs, MI 49103-1069 2020-10-16
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1881292001 Healthwatch Pharmacy Inc Pharmacy 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 2020-10-09
1225645781 Good Choice Pharmacy LLC Pharmacy 6750 E 10 Mile Rd, Center Line, MI 48015-1166 2020-09-29
1487269122 Canfield Pharmacy LLC Pharmacy 4673 Conner St, Detroit, MI 48215-2028 2020-09-10
1851905707 Skidway Pharmacy LLC Pharmacy 1830 Greenwood Rd, Prescott, MI 48756-8627 2020-09-08
1023621190 Azam Mohsen Mesleh Pharmacy 6811 Theisen St, Dearborn, MI 48126-1927 2020-08-28
1821606310 S&k Pharmacy Inc. Pharmacy 1916 Davison Rd, Flint, MI 48506-4423 2020-07-21
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Competitor

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City HOLLAND
Zip Code 49424

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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