Michael Thomas Van Ornum, RPH, RN

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0202211249 Issued in VA

Practice address

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Phone

(434) 654-8003

Fax

(434) 654-8030

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1144287012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 HICKORY HILL DR",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245904639",
            "telephone_number": "434-286-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-8003",
            "fax_number": "434-654-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ORNUM",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "RPH, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "437059",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045917",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202211249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elia M Valladares Juarez, MD
• Roberto Daniel Valladares, M.D.
• Gabriel Van de Walle, MD
• Matthew J Van Dongen, MD
• Samantha Kepler Van Dyke, MPH, RD
• Laudina Margaretha Van Putten-Eppele, PT
• Jennifer Van Santvoord
• Lauren Vanassche
• Mary L. Vance, M.D.
• Sheila R. Vance, PA-C

• Pharmacotherapy Pharmacist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pharmacotherapy Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.