Kwonwoo Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005911 Issued in MI

Legal business name

KWONWOO PHARMACY LLC

Practice address

700 Michigan Ave
Holland, MI 49423-6944

Phone

(616) 392-8507

Fax

(616) 392-8681

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Inyol Kwon-Woo

Title

President

Phone

(269) 364-7878

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SKIPS PHARMACY OF MICHIGAN Doing business as

Tax ID family

Fox Glove Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holland Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
  • NPI 1710448030
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1104841808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236944",
            "telephone_number": "616-392-8507",
            "fax_number": "616-392-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236944",
            "telephone_number": "616-392-8507",
            "fax_number": "616-392-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWONWOO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "KWON-WOO",
        "authorized_official_first_name": "INYOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-364-7878"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005911",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2351714",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKIPS PHARMACY OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKIPS PHARMACY OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichole Danelle Kurth, LMSW
• Rohit Kuthiala
• Martha Ann Kuyten
• Kellie R. Kwekel
• Inyol Kwon-Woo, RPH
• Rachel Lynn Kyle, MA, LLPC
• La Rosa Psychological Services LLC
• Lactation Clinic LLC
• Lactation Collective
• Alexis Lafata

• Community/Retail Pharmacy in Holland, MI
• Providers in Holland, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.