Active NPI
Michael Short, PHARM.D., BCPS
- Ambulatory Care Pharmacist
- Springfield, IL
National Provider Identifier
1336695865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 051.034733
- Practice address
- Memorial Medical Center Heart Failure Cinic
340 West Miller
Springfield, IL 62781-0001 - Phone
- (217) 757-7491
- Fax
- (217) 788-4835
- NPI assigned
- Aug 25, 2016
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 051.034733 | IL | Primary |
Addresses
Primary practice location
Memorial Medical Center Heart Failure Cinic
340 West Miller
Springfield, IL 62781-0001
Mailing address
Memorial Medical Center Heart Failure Cinic
340 West Miller
Springfield, IL 62781-0001
Phone (217) 757-7491
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.034733 | IL | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1336695865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEMORIAL MEDICAL CENTER HEART FAILURE CINIC",
"address_2": "340 WEST MILLER",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-757-7491",
"fax_number": "217-788-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL MEDICAL CENTER HEART FAILURE CINIC",
"address_2": "340 WEST MILLER",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-757-7491",
"fax_number": "217-788-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IL",
"license": "051.034733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.