Michael Evenson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040311 Issued in MI

Practice address

10073 E Highland Rd
Howell, MI 48843-1367

Phone

(810) 632-9432

NPI assigned

Dec 31, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Meijer Inc

  • Community/Retail Pharmacy
  • Macomb, MI
  • NPI 1033833538
  NPD (past)
• Meijer Inc

  • Community/Retail Pharmacy
  • Hartland, MI
  • NPI 1942431093
  NPD (past)
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Howell, MI
  • NPI 1023120995
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1972991768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 SNOWDEN LN",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438639",
            "telephone_number": "248-770-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10073 E HIGHLAND RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431367",
            "telephone_number": "810-632-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-31",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Esac
• Amy B. Eston, M.D.
• Janelle Cayo Ettema, PH.D., L.P.
• Grace Anna Marie Evans
• Kate Evans, MSW
• Jessica Sue Evert, L.M.S.W.
• Hannah Fairfield, MSW
• Aimee Fallon, OTR/L
• Family Fare, LLC
• Zachary Ryan Farhood, EMR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.