Cassidy Van Dyke

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302419227 Issued in MI

Practice address

378 Baldwin St
Jenison, MI 49428-7909

Phone

(906) 440-9167

NPI assigned

Apr 6, 2026

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1629919212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287909",
            "telephone_number": "906-440-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287909",
            "telephone_number": "906-440-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 Apple Orchard Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495259785",
            "country_code": "US",
            "telephone_number": "906-440-9167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302419227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian Alisa Tompkins
• Chasey Tran, PHARMD
• John Lawrence Tuttle, MA, MED, LPC
• Jessica Uzarski
• Nicole Van Allen Horne, M.D.
• Rachel Vanbeek
• Katherine Vander Wal, DDS
• Anita Maria Vanderstelt, D.O.
• Regan Vanderveen
• Grace Vanderwerf

• Pharmacist in Jenison, MI
• Providers in Jenison, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.