Individual provider Active NPI

Chad Whitefield, RPH

  • Pharmacist
  • Troy, MI
National Provider Identifier
1467085472
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032365 Issued in MI
Practice address
6054 Livernois Rd
Troy, MI 48098-1502
Phone
(877) 531-1147
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302032365 MI Primary

Addresses

Primary practice location

6054 Livernois Rd
Troy, MI 48098-1502

Mailing address

591 Henrietta St
Birmingham, MI 48009-1452
Phone (248) 860-8664

Other practice location 1

42934 Woodward Ave
Bloomfield Township, MI 48304-5034
Phone (248) 334-8817

Other names 1

  • Mr. Chad Alan Whitefield Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302032365MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Detroit CVS, L.L.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1467085472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 HENRIETTA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091452",
            "telephone_number": "248-860-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981502",
            "telephone_number": "877-531-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42934 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Township",
            "state": "MI",
            "postal_code": "483045034",
            "country_code": "US",
            "telephone_number": "248-334-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEFIELD",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "WHITEFIELD",
            "middle_name": "ALAN",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.