Active NPI
Michael Starr Welch
- Pharmacy Technician
- Fort Mitchell, KY
National Provider Identifier
1194328781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT00356430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT00356430 | KY | Primary |
| Pharmacy Technician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00356430 | KY | MD | Pharmacy Technician |
| G4W7R3S6 | OH | MD | Pharmacy 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.