Individual provider Active NPI

Michael Starr Welch

  • Pharmacy Technician
  • Fort Mitchell, KY
National Provider Identifier
1194328781
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PT00356430 Issued in KY
Practice address
3450 Valley Plaza Pkwy
Fort Mitchell, KY 41017-8113
Phone
(859) 341-3714
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183700000X PT00356430 KY Primary
Pharmacy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183700000X G4W7R3S6 OH

Addresses

Primary practice location

3450 Valley Plaza Pkwy
Fort Mitchell, KY 41017-8113

Mailing address

3450 Valley Plaza Pkwy
Fort Mitchell, KY 41017-8113
Phone (859) 341-3714

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

State licenses

LicenseStateTypeSpecialty
PT00356430KYMDPharmacy Technician
G4W7R3S6OHMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1194328781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 VALLEY PLAZA PKWY",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410178113",
            "telephone_number": "859-341-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 VALLEY PLAZA PKWY",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410178113",
            "telephone_number": "859-341-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MICHAEL",
        "middle_name": "STARR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "KY",
            "license": "PT00356430",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "G4W7R3S6",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.