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Chad Carpenter

Pharmacist β€’ Fremont, MI

Active NPI 1487067625 Individual Practitioner Male Practitioner
Practice location in NPPES

230 W Oak St
Fremont, MI 494121526

Call 2319244200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

230 W Oak St

Fremont, MI 494121526

Telephone 2319244200
Organization at the Same NPPES Address or Phone
Pine Medical Group, Pc Facility NPI 1770791147

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fremont and Michigan

13 active clinicians are listed under Pharmacist with a practice address in Fremont, MI (8,376 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fremont

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-31
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MI 5302038772

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Caylee Bont , PA-C

Physician Assistant

NPI 1942639844

Physician Assistant (Certified)

Rebecca Bruins , PA

Physician Assistant

NPI 1477320919

Physician Assistant

Dr. Randall Ceton , MD

Family Medicine

NPI 1801846316

Doctor of Medicine (M.D.)

Dr. Carol Deweerd , MD

Family Medicine

NPI 1285685461

Doctor of Medicine (M.D.)

NPI 1942252440

Doctor of Medicine (M.D.)

Autumn Dittenber , PA-C

Physician Assistant

NPI 1013461581

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 31, 2025

Registered at 230 W OAK ST, FREMONT, MI 494121526 (Tel: 2319244200)

πŸ“
Updated Business Mailing Address January 31, 2025

Registered at 230 W OAK ST, FREMONT, MI 494121526 (Tel: 2319244200)

βœ…
NPI Profile Active June 05, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2014

Registered at 4562 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 486299005 (Tel: 9893669212)

πŸ“
Business Mailing Address (Initial Record) June 05, 2014

Registered at 4562 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 486299005

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2014

Recorded as CHAD CARPENTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2014

Pharmacist (license number reported to NPPES: MI 5302038772)

🟒
Initial NPI Registration & Enumeration June 05, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487067625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2014
Last Update: January 31, 2025
Sole Proprietor: No

Mailing Address

230 W Oak St

Fremont, MI 494121526

Phone: 2319244200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.