Active NPI
Michael Conty, PHARM.D.
- Pharmacist
National Provider Identifier
1093141822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69265
- Practice address
- 26 Old Mammoth Road
Mammoth Lakes, CA 93546
UM - Phone
- (760) 934-8561
- NPI assigned
- Sep 25, 2013
- Last updated
- Mar 3, 2014
- 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 | 69265 | CA | Primary |
Addresses
Primary practice location
26 Old Mammoth Road
Mammoth Lakes, CA 93546
UM
Mailing address
2021 Rosita Ave
Burbank, CA 91504-2822
Phone (818) 422-4210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69265 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 05842
- Community/Retail Pharmacy
- Mammoth Lakes, CA
- NPI 1942319397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1093141822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 ROSITA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042822",
"telephone_number": "818-422-4210"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "26 OLD MAMMOTH ROAD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "93546",
"telephone_number": "760-934-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTY",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.