Active NPI
Deborah Madsen, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Canton, MI
National Provider Identifier
1821521683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302040176
- Practice address
- 45540 Michigan Ave
Canton, MI 48188-2472 - Phone
- (734) 397-2560
- Fax
- (734) 397-2691
- NPI assigned
- Apr 9, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302040176 | MI | |
| Pharmacist | 183500000X | RP0008876 | WV | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302040176 | MI | Primary |
Addresses
Primary practice location
45540 Michigan Ave
Canton, MI 48188-2472
Mailing address
36430 Ford Rd
Westland, MI 48185-2211
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 |
|---|---|---|---|
| RP0008876 | WV | MD | Pharmacist |
| 5302040176 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fenton, MI
- NPI 1326917394
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1346274107
-
- Community/Retail Pharmacy
- Canton, MI
- NPI 1942234711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1821521683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36430 FORD RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481852211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45540 MICHIGAN AVE",
"city": "CANTON",
"state": "MI",
"postal_code": "481882472",
"telephone_number": "734-397-2560",
"fax_number": "734-397-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "DEBORAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040176",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008876",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302040176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.