Active NPI
Michael Paul Compeaux, RPH
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1043365828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- SO16944
- Practice address
- 3906 E. Rockwood Dr.
Phoenix, AZ 85050-3282 - Phone
- (504) 982-9095
- Fax
- (504) 849-6901
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-040252 | IL | |
| Pharmacist | 183500000X | 32145 | TX | |
| Pharmacist | 183500000X | 23605 | NJ | |
| Pharmacist | 183500000X | 017148 | GA | |
| Pharmacist | 183500000X | PS 31216 | FL | |
| Pharmacist | 183500000X | 16832 | LA | |
| Pharmacist | 183500000X | RPH017148 | GA | |
| Pharmacist | 183500000X | PU8521 | FL | |
| Pharmacist | 183500000X | 051040252 | IL | |
| Pharmacist | 183500000X | SO16944 | AZ | Primary |
Addresses
Primary practice location
3906 E. Rockwood Dr.
Phoenix, AZ 85050-3282
Mailing address
3906 E. Rockwood Dr.
Phoenix, AZ 85050-3282
Phone (504) 982-9095
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32145 | TX | MD | Clinical Psychologist |
| SO16944 | AZ | MD | Pharmacist |
| PS 31216 | FL | MD | Pharmacist |
| PU8521 | FL | MD | Pharmacist |
| 017148 | GA | MD | Pharmacist |
| RPH017148 | GA | MD | Pharmacist |
| 051-040252 | IL | MD | Pharmacist |
| 051040252 | IL | MD | Pharmacist |
| 16832 | LA | MD | Pharmacist |
| 23605 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1043365828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 E. ROCKWOOD DR.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503282",
"telephone_number": "504-982-9095",
"fax_number": "504-849-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3906 E. ROCKWOOD DR.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503282",
"telephone_number": "504-982-9095",
"fax_number": "504-849-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPEAUX",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-040252",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32145",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "23605",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017148",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 31216",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16832",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017148",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU8521",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051040252",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "SO16944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.