Active NPI
Michael Vineburg, PHARMD
- Pharmacist
- Cedarburg, WI
National Provider Identifier
1265038012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18722-40
- Practice address
- N54W6135 Mill St Ste 300
Cedarburg, WI 53012-2050 - Phone
- (262) 375-0010
- Fax
- (262) 375-0080
- NPI assigned
- Dec 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18722-40 | WI | Primary |
Addresses
Primary practice location
N54W6135 Mill St Ste 300
Cedarburg, WI 53012-2050
Mailing address
8650 N Fielding Rd
Bayside, WI 53217-2426
Phone (920) 246-3580
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18722-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedarburg Prescription Center, Inc | Current | Accepting new patients | |
| Plex Health Inc | Past | Accepting new patients | |
| Cedarburg Prescription Center Inc | Past | Accepting new patients |
Locations
N54W6135 Mill St
Ste 300
Cedarburg, WI 53012
Phone (262) 375-0010
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Cedarburg, WI
- NPI 1306448246
-
- Community/Retail Pharmacy
- Cedarburg, WI
- NPI 1730282880
-
- Durable Medical Equipment & Medical Supplies
- Valley Stream, NY
- NPI 1851980940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1265038012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 N FIELDING RD",
"city": "BAYSIDE",
"state": "WI",
"postal_code": "532172426",
"telephone_number": "920-246-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N54W6135 MILL ST STE 300",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530122050",
"telephone_number": "262-375-0010",
"fax_number": "262-375-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINEBURG",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18722-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.