Active NPI
Chloe Casanave Masterson, PHARMD
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1609591908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5351010927
- Practice address
- 8 68TH St SW
Grand Rapids, MI 49548-7112 - Phone
- (616) 827-0270
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5351010927 | MI | Primary |
Addresses
Primary practice location
8 68TH St SW
Grand Rapids, MI 49548-7112
Mailing address
8 68TH St SW
Grand Rapids, MI 49548-7112
Phone (616) 827-0270
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 |
|---|---|---|---|
| 5351010927 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
8 68th St SW
Grand Rapids, MI 49548
Phone (616) 827-0270
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": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1609591908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 68TH ST SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495487112",
"telephone_number": "616-827-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 68TH ST SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495487112",
"telephone_number": "616-827-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "CHLOE",
"middle_name": "CASANAVE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5351010927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.