Active NPI
Michael Patrick Igo, RPH
- Pharmacist
- Greensboro, NC
National Provider Identifier
1194005330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10356
- Practice address
- 309 E Cornwallis Dr
Greensboro, NC 27408-5103 - Phone
- (336) 274-0179
- Fax
- (336) 373-9957
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 10356 | NC | Primary |
Addresses
Primary practice location
309 E Cornwallis Dr
Greensboro, NC 27408-5103
Mailing address
309 E Cornwallis Dr
Greensboro, NC 27408-5103
Phone (336) 274-0179
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 |
|---|---|---|---|
| 10356 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1194005330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CORNWALLIS DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274085103",
"telephone_number": "336-274-0179",
"fax_number": "336-373-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E CORNWALLIS DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274085103",
"telephone_number": "336-274-0179",
"fax_number": "336-373-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGO",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.