David A Kirkwood, PHARM D.

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

5302032372 Issued in MI

Practice address

3650 Broadmoor Ave SE Ste 108
Grand Rapids, MI 49512-3926

Phone

(616) 365-9702

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tcpi Acquisition LLC

  dba Omnicare of Grand Rapids #48278

  • Long Term Care Pharmacy
  • Grand Rapids, MI
  • NPI 1437252475
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1356020820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17079 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246037",
            "telephone_number": "616-292-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BROADMOOR AVE SE STE 108",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495123926",
            "telephone_number": "616-365-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MI",
            "license": "5302032372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Agerson MD PC
• Anthony J Kirk, DPM PC
• Robert Spencer Kirkland, MD
• Terri Lynne Kirkpatrick
• Terry K Kirkpatrick, MS, RPH
• Joseph Hasse Kirkwood, DDS
• Tyler Kirkwood
• Melinda Kirn, C.S.W.
• Kathleen Justice Kirtek, M.D.
• Brenda A Kirtley, LPN

• Geriatric Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Geriatric Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.