Cleveland Glynn Michaud Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

18670 Issued in LA

Practice address

1200 W Maple Ave
Eunice, LA 70535-4320

Phone

(337) 457-5216

Fax

(337) 457-0920

NPI assigned

Sep 7, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Male

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

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.

• Maple Avenue Pharmacy Inc

  dba Maple Avenue Pharmacy

  • Community/Retail Pharmacy
  • Eunice, LA
  • NPI 1982791174
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1043527435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MAPLE AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705354320",
            "telephone_number": "337-457-5216",
            "fax_number": "337-457-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAPLE AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705354320",
            "telephone_number": "337-457-5216",
            "fax_number": "337-457-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "CLEVELAND",
        "middle_name": "GLYNN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devonie Matte
• Robert Mark McGee, R.PH.
• Dori E Menard
• Jeffery Menard, PT
• Nicole V Michael, M.D.
• J D Miller, OD
• Lee Garrett Miller, PT
• Randall Miller, M.D.
• Barney Mire
• Pedro Mora, MD

• Pharmacist in Eunice, LA
• Providers in Eunice, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.