Active NPI
Michael Jay Zucker, BS
- Pharmacist
- Queen Creek, AZ
National Provider Identifier
1124355748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011147
- Practice address
- 542 E Hunt Hwy
Queen Creek, AZ 85143-5212 - Phone
- (480) 888-1781
- Fax
- (480) 888-1786
- NPI assigned
- Nov 4, 2009
- 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 | S011147 | AZ | Primary |
Addresses
Primary practice location
542 E Hunt Hwy
Queen Creek, AZ 85143-5212
Mailing address
542 E Hunt Hwy
Queen Creek, AZ 85143-5212
Phone (480) 888-1781
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S011147 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Tan Valley, AZ
- NPI 1497799704
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1124355748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 E HUNT HWY",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851435212",
"telephone_number": "480-888-1781",
"fax_number": "480-888-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 E HUNT HWY",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851435212",
"telephone_number": "480-888-1781",
"fax_number": "480-888-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.