Michael C Wells, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302027782 Issued in MI

Practice address

1125 Washington Ave
Grand Haven, MI 49417-1625

Phone

(616) 842-4360

Fax

(616) 842-9590

NPI assigned

Mar 9, 2012

Last updated

Mar 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1154696128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171625",
            "telephone_number": "616-842-4360",
            "fax_number": "616-842-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171625",
            "telephone_number": "616-842-4360",
            "fax_number": "616-842-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "5302027782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Ashni Weber, OT
• Walter E Weber, DDS
• Noah Weigle, DDS
• Jessica Amber Weishaar
• Michell Marie Wellman, LLP
• James John Welsh, MA, CCC-A
• Wendy Elzinga Ma LLP, PLLC
• Melissa Wessel, DC
• Robert J Wessel, B.S.
• West Michigan Heart

• Pharmacist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.