Active NPI
Trevor Hofman, PHARMD
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1467236224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5315244387
- Practice address
- 6790 Cascade Rd SE
Grand Rapids, MI 49546-6860 - Phone
- (616) 954-2408
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5315244387 | MI | Primary |
Addresses
Primary practice location
6790 Cascade Rd SE
Grand Rapids, MI 49546-6860
Mailing address
9514 Port Sheldon St
Zeeland, MI 49464-9536
Phone (616) 312-5289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315244387 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1467236224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9514 PORT SHELDON ST",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494649536",
"telephone_number": "616-312-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466860",
"telephone_number": "616-954-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMAN",
"first_name": "TREVOR",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5315244387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.