Active NPI
Christopher J Michaud, PHARMD, BCCCP, BCPS
- Critical Care Pharmacist
- Kentwood, MI
National Provider Identifier
1518614130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 5302038697
- Practice address
- 4512 Breton Rd SE
Kentwood, MI 49508-5271 - Phone
- (616) 327-7800
- NPI assigned
- Mar 3, 2022
- Last updated
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302038697 | MI | |
| Critical Care Pharmacist | 1835C0205X | 5302038697 | MI | Primary |
Addresses
Primary practice location
4512 Breton Rd SE
Kentwood, MI 49508-5271
Mailing address
8745 Glen Nevis Rd NE
Ada, MI 49301-9756
Phone (616) 443-8539
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302038697 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Labs, Inc. | Current | Accepting new patients |
Locations
4512 Breton Rd SE
Kentwood, MI 49508
Phone (616) 327-7800
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.
-
dba ION Diagnostics Laboratories
- Clinical Medical Laboratory
- Bingham Farms, MI
- NPI 1790274678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1518614130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 GLEN NEVIS RD NE",
"city": "ADA",
"state": "MI",
"postal_code": "493019756",
"telephone_number": "616-443-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 BRETON RD SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495085271",
"telephone_number": "616-327-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "PHARMD, BCCCP, BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302038697",
"primary": false
},
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "MI",
"license": "5302038697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.