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Michaela Maticevic Cavazos

Pharmacist β€’ Grand Rapids, MI

Active NPI 1528795192 Individual Practitioner Female Practitioner
Practice location in NPPES

100 Michigan St Ne Ste 1830
Grand Rapids, MI 495032560

Call 6162496210 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

100 Michigan St Ne Ste 1830

Grand Rapids, MI 495032560

Telephone 6162496210
Organization at the Same NPPES Address or Phone
Meijer, Inc. Facility NPI 1447635388

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grand Rapids, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

391 active clinicians are listed under Pharmacist with a practice address in Grand Rapids, MI (8,498 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 391 clinicians have the CMS telehealth indicator.

0% of these 391 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-09-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MI 5302415481

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

Secondary Practice Locations

1840 Wealthy St Se

Grand Rapids, MI 495062921

Phone: 6162496310

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location September 28, 2026

Registered at 100 MICHIGAN ST NE STE 1830, GRAND RAPIDS, MI 495032560 (Tel: 6162496210)

πŸ“
Updated Business Mailing Address September 28, 2026

Registered at 100 MICHIGAN ST NE STE 1830, GRAND RAPIDS, MI 495032560

🏒
Secondary Practice Location Registered September 28, 2026

Additional practice office at 1840 Wealthy St SE, Grand Rapids, MI 495062921

πŸ‘€
Provider Name / Credentials Updated September 28, 2026

Recorded as MICHAELA CAVAZOS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2026

Pharmacist (license number reported to NPPES: MI 5302415481)

πŸ”„
NPI Profile Reactivated September 09, 2026

Record officially reactivated for active practice on September 09, 2026

⚠️
NPI Profile Deactivated December 22, 2024

NPPES lists this NPI as deactivated as of December 22, 2024; the reason is not published.

βœ…
NPI Profile Active December 22, 2024

NPI status registered as active in NPPES database

βœ…
NPI Profile Active August 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2022

Registered at 5531 28TH ST SE, GRAND RAPIDS, MI 495122053 (Tel: 6169546010)

πŸ“
Business Mailing Address (Initial Record) August 04, 2022

Registered at 5531 28TH ST SE, GRAND RAPIDS, MI 495122053

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2022

Recorded as MICHAELA MATICEVIC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 04, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528795192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2022
Last Update: September 28, 2026
Sole Proprietor: No

Other Pharmacists in Grand Rapids

All Pharmacists in Grand Rapids

Mailing Address

100 Michigan St Ne Ste 1830

Grand Rapids, MI 495032560

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.