Active NPI
Michael R Ehren, RPH, CPH
- Pharmacist
- Davie, FL
National Provider Identifier
1093858912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 19112
- Practice address
- 1663 SW 103Rd LN
Davie, FL 33324-7464 - Phone
- (954) 424-1976
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS 19112 | FL | Primary |
Addresses
Primary practice location
1663 SW 103Rd LN
Davie, FL 33324-7464
Mailing address
1663 SW 103Rd LN
Davie, FL 33324-7464
Phone (954) 424-1976
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 |
|---|---|---|---|
| PS 19112 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093858912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 SW 103RD LN",
"city": "DAVIE",
"state": "FL",
"postal_code": "333247464",
"telephone_number": "954-424-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 SW 103RD LN",
"city": "DAVIE",
"state": "FL",
"postal_code": "333247464",
"telephone_number": "954-424-1976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHREN",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "RPH, CPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 19112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.