Michael David Deluca, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

012045 Issued in KY

Practice address

3908 Laurel Oak LN
Lexington, KY 40514-1732

Phone

(859) 421-4347

NPI assigned

Apr 13, 2020

Last updated

Apr 14, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Interoperability endpoints

• Direct secure messaging: elgilliam@visiumhealthlink.com

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1205455987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 LAUREL OAK LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141732",
            "telephone_number": "859-421-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 LAUREL OAK LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141732",
            "telephone_number": "859-421-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "012045",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elgilliam@visiumhealthlink.com",
            "affiliation": "N",
            "endpointDescription": "PowerPoint encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3908 Laurel Oak Ln",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405141732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Dell
• Debra Dellay, ARNP
• Jeremy Delon
• Kayla Delon
• Lauren Delpont, DMD, MSD
• Myra M. Deluca, P.A.-C.
• John Mario Demaio, M.D.
• Eric T Demann, DMD
• Nicholas Demas, MD
• Jeffrey B Dembo, DDS, MS

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.