Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fred G Momber, PHARMACIST

Individual provider Pharmacist · NPI 1831489624

Fred G Momber, PHARMACIST is a Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
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Practice location Address checks out

1029 4 Mile Rd NW
Grand Rapids, MI 49544
Phone: (616) 784-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302024592 (MI)

Record details

NPI number1831489624
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedApril 13, 2011
Last updated in NPPESApril 13, 2011

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