Michaela Rose Clague, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

26030416A Issued in IN

Practice address

550 University Blvd
Indianapolis, IN 46202-5149

Phone

(734) 649-1357

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1912538034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 SYCAMORE FORGE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541293",
            "telephone_number": "734-649-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "734-649-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAGUE",
        "first_name": "MICHAELA",
        "middle_name": "ROSE",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030416A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY STUDENT TRAINEE",
            "identifier": "39557",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "I am not sure how to complete this as a training PharmD student.",
            "address_1": "2409 University Ave",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787121112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Rae Ciuffo, M.A., CCC-SLP
• Jasmine Y Cizadlo
• Colin Claerbout, OD
• Emily Kathleen Claerbout, M.D.
• Catherine Mae Clager
• Rhonda Clair, LCSW
• Gloria Clampitt
• Anna Clancy
• Domminique Clancy, RBT
• Tyanne L Clancy, MS, LMHC

• Pharmacist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.