Individual provider Active NPI

Michael Wollman Sanders I, PHARM.D., C.G.P.

  • Pharmacotherapy Pharmacist
  • Santa Rosa, CA
National Provider Identifier
1023002961
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RPH 27956 Issued in CA
Practice address
128 Alderbrook Dr
Santa Rosa, CA 95405-4602
Phone
(707) 545-0742
Fax
(707) 545-0742
NPI assigned
Sep 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RPH 27956 CA Primary

Addresses

Primary practice location

128 Alderbrook Dr
Santa Rosa, CA 95405-4602

Mailing address

128 Alderbrook Dr
Santa Rosa, CA 95405-4602
Phone (707) 545-0742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH 27956CAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023002961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ALDERBROOK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054602",
            "telephone_number": "707-545-0742",
            "fax_number": "707-545-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ALDERBROOK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054602",
            "telephone_number": "707-545-0742",
            "fax_number": "707-545-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHAEL",
        "middle_name": "WOLLMAN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHARM.D., C.G.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH 27956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.