Active NPI
Michael Peter Kontaxes, RPH
- Pharmacist
- Grantsboro, NC
National Provider Identifier
1134413040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17372
- Practice address
- 11560 Unit 13
NC Hwy 55
Grantsboro, NC 28529 - Phone
- (252) 745-3911
- Fax
- (252) 745-1223
- NPI assigned
- Jun 8, 2011
- Last updated
- Jun 8, 2011
- 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 | 17372 | NC | Primary |
Addresses
Primary practice location
11560 Unit 13
NC Hwy 55
Grantsboro, NC 28529
Mailing address
11560 Unit 13
NC Hwy 55
Grantsboro, NC 28529
Phone (252) 745-3911
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 |
|---|---|---|---|
| 17372 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1134413040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11560 UNIT 13",
"address_2": "NC HWY 55",
"city": "GRANTSBORO",
"state": "NC",
"postal_code": "28529",
"telephone_number": "252-745-3911",
"fax_number": "252-745-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11560 UNIT 13",
"address_2": "NC HWY 55",
"city": "GRANTSBORO",
"state": "NC",
"postal_code": "28529",
"telephone_number": "252-745-3911",
"fax_number": "252-745-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTAXES",
"first_name": "MICHAEL",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grantsboro, NC
- Goshen Medical Center, Incorporated (Goshen Medical Center - Grantsboro)
- Grantsboro Opco Holdings (Gardens of Pamlico)
- In Home Aide Care, Inc.
- Kelsey Keller
- Renita Kirkman
- Magnolia Woods Senior Village, Inc (The Gardens of Pamlico)
- Holly Minnifield
- Darlene Molett, PHARM D
- Monarch
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03987)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.