Michael Thomas Bane, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202213215 Issued in VA

Practice address

13007 Warwick Blvd
Newport News, VA 23602-8315

Phone

(757) 882-1074

NPI assigned

Jul 17, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Norfolk, VA
  • NPI 1285164210
  NPD
• Walgreen Co

  • Pharmacy
  • Newport News, VA
  • NPI 1104831155
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1285041632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 21ST ST STE 6",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172365",
            "telephone_number": "757-278-2577",
            "fax_number": "757-278-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13007 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028315",
            "telephone_number": "757-882-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunta Baize
• Daniel Joseph Baker, COTA/L
• Ramchandur Bakhtiani, MBBS, MD
• Jeremy Warren Baldwin, MD
• Alecia Sheree Ball
• Karen Banks, RN, MSN, FNP
• Mary Vinson Banks, NP
• Scott J. Banning, M.D.
• Banvera LLC
• Monika Bapna, MD

• All providers in Newport News, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.