Individual provider Active NPI

David W. Zeile, RPH

  • Pharmacist
  • Saint Louis, MI
National Provider Identifier
1124337928
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302022843 Issued in MI
Practice address
129 Essex Dr
Saint Louis, MI 48880-9436
Phone
(989) 859-9714
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302022843 MI Primary
Pharmacist 183500000X 051-039064 IL
Pharmacist 183500000X 26091705A IN

Addresses

Primary practice location

129 Essex Dr
Saint Louis, MI 48880-9436

Mailing address

129 Essex Dr
Saint Louis, MI 48880-9436
Phone (989) 859-9714

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
051-039064ILMDPharmacist
26091705AINMDPharmacist
5302022843MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1124337928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ESSEX DR",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809436",
            "telephone_number": "989-859-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ESSEX DR",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809436",
            "telephone_number": "989-859-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEILE",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022843",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-039064",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26091705A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.