Trevor Michael Massey, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302041890 Issued in MI

Practice address

4900 M 72 E
Williamsburg, MI 49690-9455

Phone

(231) 534-9810

NPI assigned

Aug 7, 2017

Last updated

Mar 17, 2018By 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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356866727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 M 72 E",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 M 72 E",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909455",
            "telephone_number": "231-534-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497357241",
            "country_code": "US",
            "telephone_number": "989-731-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "TREVOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Allen Kleyn, MD
• Kara S Koeplin, OTR
• Benjamin Bradley Lacross, PHARMD
• Abigail Larsen
• Christina Jean Lukas, MT, LLPC
• David Blake May, D.O.
• Zachary J McGiness, PHARMD
• Karen Lesley McLean, P.T.
• Meijer, Inc. (Meijer Pharmacy #236)
• Michigan Eldercare, Inc. (Mobile Doctors of Northwest Michigan)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.