Active NPI
Chelsea Ray Terry, PHARMD
- Pharmacist
- Dundee, MI
National Provider Identifier
1548886336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041025
- Practice address
- 100 Cabelas Blvd E
Dundee, MI 48131-9693 - Phone
- (734) 529-5395
- NPI assigned
- Jun 17, 2020
- Last updated
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | PS54655 | FL | |
| Pharmacist | 183500000X | 5302041025 | MI | Primary |
Addresses
Primary practice location
100 Cabelas Blvd E
Dundee, MI 48131-9693
Mailing address
658 Hickory LN
Saline, MI 48176-1106
Phone (734) 780-1482
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 |
|---|---|---|---|
| PS54655 | FL | MD | Pharmacist |
| 5302041025 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
100 Cabelas Blvd E
Dundee, MI 48131
Phone (734) 529-5395
Organizations & group practices 2
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": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1548886336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 HICKORY LN",
"city": "SALINE",
"state": "MI",
"postal_code": "481761106",
"telephone_number": "734-780-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CABELAS BLVD E",
"city": "DUNDEE",
"state": "MI",
"postal_code": "481319693",
"telephone_number": "734-529-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "CHELSEA",
"middle_name": "RAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54655",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.