Individual provider

Kimberly Daugherty, PHARMD

Pharmacotherapy Pharmacist

Kimberly Daugherty, PHARMD is a Pharmacotherapy Pharmacist in Grand Rapids, MI, registered under NPI 1215053004. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 21 MICHIGAN ST NE STE 425, Grand Rapids, MI 49503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21 MICHIGAN ST NE STE 425, Grand Rapids, MI 49503 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5302034354 MI Pharmacotherapy Pharmacist primary
011988 KY Pharmacotherapy Pharmacist

Licences are recorded in 2 states: MI, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Kentucky and Michigan. The practice address on file is in Grand Rapids, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky
Licence
011988
Specialty
Pharmacotherapy Pharmacist
Verify with the KY board →
MI Michigan practice address
Licence
5302034354
Specialty
Pharmacotherapy Pharmacist
Verify with the MI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pharmacotherapy covers

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. NUCC Health Care Provider Taxonomy, code 1835P1200X
Pharmacy Service Providers Pharmacist Pharmacotherapy

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1835P1200X Pharmacotherapy Pharmacist Pharmacotherapy 5302034354 MI primary
1835P1200X Pharmacotherapy Pharmacist Pharmacotherapy 011988 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215053004 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 22, 2007
Last updatedJul 8, 2007
StatusActive
Sole proprietorYes
CredentialPHARMD
Practice address 21 MICHIGAN ST NE STE 425
Grand Rapids, MI 49503
(616) 391-2728
Fax (616) 391-3783
Mailing address 2301 ROSEWOOD AVE SE
Grand Rapids, MI 49506
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215053004 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 0 5 3 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 0 5 6 0 0

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215053004?
NPI 1215053004 is the National Provider Identifier assigned to Kimberly Daugherty, PHARMD in Grand Rapids, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacotherapy cover?
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the…
How do I contact Kimberly Daugherty, PHARMD?
The phone number on file with NPPES is (616) 391-2728, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1215053004 a valid number?
Yes. 1215053004 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.