Individual provider Active NPI

Christopher J Michaud, PHARMD, BCCCP, BCPS

  • Critical Care Pharmacist
  • Kentwood, MI
National Provider Identifier
1518614130
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
5302038697 Issued in MI
Practice address
4512 Breton Rd SE
Kentwood, MI 49508-5271
Phone
(616) 327-7800
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302038697MIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Labs, Inc. CurrentSince Mar 6, 2022 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.

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.

Verify at the official NPI Registry.