Michael Dean Yengst, RPH
Individual provider Active NPI Pharmacist · Montrose, CO
NPI 1124469234 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1124469234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16328 (CO)
- Practice address
- 700 Paso de Pablo
Montrose, CO 81403-6340 - Phone
- (970) 209-4817
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16328 | CO | MD | Music Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21865 | TX | |
| Pharmacist | 183500000X | 16328 | CO | Yes |
Addresses
Primary practice location
700 Paso de Pablo
Montrose, CO 81403-6340
Mailing address
700 Paso de Pablo
Montrose, CO 81403-6340
Phone (970) 209-4817
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.