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
- Last updated
- Oct 19, 2022
- 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 | |
| Walgreen Co | Past | Accepting new patients | |
| Kentucky CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.