Active NPI
Michael Lynn Alverson, R.PH.
- Pharmacist
- Athens, MI
National Provider Identifier
1124179064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302025922
- Practice address
- 106 S. Capital Ave.
Athens, MI 49011-0415 - Phone
- (269) 729-5161
- Fax
- (269) 729-5163
- NPI assigned
- Jan 16, 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 | 5302025922 | MI | Primary |
Addresses
Primary practice location
106 S. Capital Ave.
Athens, MI 49011-0415
Mailing address
123 Kingsbury St
P.O. Box 415
Athens, MI 49011-0415
Phone (269) 729-9259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302025922 | Other | MI | REGISTERED PHARMACIST LIC |
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 |
|---|---|---|---|
| 5302025922 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124179064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 KINGSBURY ST",
"address_2": "P.O. BOX 415",
"city": "ATHENS",
"state": "MI",
"postal_code": "490110415",
"telephone_number": "269-729-9259",
"fax_number": "269-729-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S. CAPITAL AVE.",
"city": "ATHENS",
"state": "MI",
"postal_code": "490110415",
"telephone_number": "269-729-5161",
"fax_number": "269-729-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVERSON",
"first_name": "MICHAEL",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LIC",
"identifier": "5302025922",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, MI
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.