Individual provider Active NPI

Michael B Elfers, PHARMD

  • Pharmacist
  • North Olmsted, OH
National Provider Identifier
1104263029
Registry record updated Jun 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-230680-2 Issued in OH
Practice address
3944 Brendan LN
Unit 508
North Olmsted, OH 44070-2249
Phone
(440) 670-0982
NPI assigned
Jun 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-230680-2 OH Primary

Addresses

Primary practice location

3944 Brendan LN
Unit 508
North Olmsted, OH 44070-2249

Mailing address

3944 Brendan LN
Unit 508
North Olmsted, OH 44070-2249
Phone (440) 670-0982

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

LicenseStateTypeSpecialty
03-230680-2OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1104263029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 BRENDAN LN",
            "address_2": "UNIT 508",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702249",
            "telephone_number": "440-670-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 BRENDAN LN",
            "address_2": "UNIT 508",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702249",
            "telephone_number": "440-670-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFERS",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-230680-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.