Individual provider Active NPI

Michael Schember, RPH

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1114437092
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S016347 Issued in AZ
Practice address
3864 N 27TH Ave
Phoenix, AZ 85017-4703
Phone
(602) 358-0078
Fax
(602) 264-4982
NPI assigned
Oct 5, 2017
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S016347 AZ Primary

Addresses

Primary practice location

3864 N 27TH Ave
Phoenix, AZ 85017-4703

Mailing address

3864 N 27TH Ave
Phoenix, AZ 85017-4703
Phone (602) 358-0078

Other identifiers 3

IdentifierTypeStateIssuer
051287085OtherILILLINOIS DEPART OF FINANCIAL AND PROFESSIONAL REGULATION
S016347OtherAZARIZONA BOARD OF PHARMACY LICENSE
5302410885OtherMIMICHIGAN BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
S016347AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1114437092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174703",
            "telephone_number": "602-358-0078",
            "fax_number": "602-264-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174703",
            "telephone_number": "602-358-0078",
            "fax_number": "602-264-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMBER",
        "first_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPART OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "051287085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF PHARMACY LICENSE",
            "identifier": "S016347",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PHARMACY",
            "identifier": "5302410885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.