Active NPI
Michael Andraws
- Pharmacist
- Paducah, KY
National Provider Identifier
1053945956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41949
- Practice address
- 538 Lone Oak Rd
Paducah, KY 42003-4538 - Phone
- (270) 443-8855
- NPI assigned
- Feb 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41949 | SC | Primary |
Addresses
Primary practice location
538 Lone Oak Rd
Paducah, KY 42003-4538
Mailing address
1 The Pkwy
Greenville, SC 29615-5026
Other practice location 1
1 The Pkwy
Greenville, SC 29615-5026
Phone (864) 288-9334
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41949 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Kentucky CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1 The Pkwy
Greenville, SC 29615
Phone (864) 288-9334
Organizations & group practices 3
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.
-
- Pharmacy
- Greenville, SC
- NPI 1841374097
-
- Pharmacy
- Paducah, KY
- NPI 1841393584
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1053945956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 THE PKWY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034538",
"telephone_number": "270-443-8855"
}
],
"practiceLocations": [
{
"address_1": "1 The Pkwy",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296155026",
"country_code": "US",
"telephone_number": "864-288-9334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRAWS",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "41949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.