Alyssa Marie Cavanaugh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302041023 Issued in MI

Practice address

1125 S Main St
Chelsea, MI 48118-1426

Phone

(734) 475-1188

Fax

(734) 475-1188

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Suttons Bay, MI
  • NPI 1811904345
  NPD (past)
• Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Chelsea, MI
  • NPI 1922062439
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1962929570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16738 WINTERS RD",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181426",
            "telephone_number": "734-475-1188",
            "fax_number": "734-475-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20170714714048",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creg A Carpenter, MD
• Robert M Carruthers, MD
• Erik J Carson, M.D.
• Ryan Thomas Carver, M.D.
• Meggan Marie Casper, LLMSW
• Stuart Chalin, LMSW
• Kelly Lynn Chan, PT
• Julie Chappel, LMSW
• Mia Charara
• Chelsea Area Fire Authority

• Pharmacist in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.