Michael Paul Hermann, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03295400 Issued in NJ

Practice address

1460 State Route 23
Wayne, NJ 07470-7503

Phone

(973) 633-1057

NPI assigned

Feb 21, 2020

Last updated

Jun 4, 2022By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1205469863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DEWEY AVE APT 108",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 STATE ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707503",
            "telephone_number": "973-633-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Koeller St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549026175",
            "country_code": "US",
            "telephone_number": "920-303-1712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15761-40",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03295400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "15761-40",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "28RI03295400",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wayne",
            "affiliation": "N",
            "address_1": "1460 State Route 23",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074707503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy J Henderson, MD
• Ashley Elizabeth Hendricks, L.AC
• Bunly Heng
• Bernard Henson, MD
• Philip Herbert, LCSW
• Jessica L Hermansky, RD
• Eugenia Hernandez, MSW
• Silvia Hernandez, RN, MSN, APN-C
• Lindsay Meredith Heron, MSW, LCSW
• Monique Herrera, LCSW

• Pharmacist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.