Active NPI
Joseph Francis Michaels III, RX
- Pharmacist
- Brawley, CA
National Provider Identifier
1205140738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61222
- Practice address
- 405 W Main St
Brawley, CA 92227-2244 - Phone
- (760) 344-5732
- NPI assigned
- Jul 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S012564 | AZ | |
| Pharmacist | 183500000X | 61222 | CA | Primary |
Addresses
Primary practice location
405 W Main St
Brawley, CA 92227-2244
Mailing address
2979 Camino del Rio
Bullhead City, AZ 86442-7889
Phone (928) 444-4949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S012564 | Other | AZ | PHARMACIST LICENSE |
| 61222 | Other | CA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| S012564 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 05674
- Community/Retail Pharmacy
- Brawley, CA
- NPI 1588686497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1205140738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2979 CAMINO DEL RIO",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427889",
"telephone_number": "928-444-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272244",
"telephone_number": "760-344-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "JOSEPH",
"middle_name": "FRANCIS",
"name_suffix": "III",
"credential": "RX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "S012564",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "61222",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
- Natalie Monette Corrine McBroom, M.A. LMFT
- Daniel Peter McCarthy, PA-C
- Kaitlyn D Medina
- Kathleen Messerschmidt, NP
- Michael H. Bishop
- Grace Catherine Mickle, LMFT
- Kevin Roy Miller, PHARMACY TECHNICIAN
- Danielle Colleen Mohamed, MS, RDN, LDN
- Mohammad I Admani MD a Professional Corporation
- Sayed Monis, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.