Individual provider Active NPI

Michael Weintraub, PHARM BS

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1356889257
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07923 Issued in NV
Practice address
10799 N 90TH Street
Suite 200 - Second Floor
Scottsdale, AZ 85260-6166
Phone
(480) 614-0060
Fax
(480) 614-0160
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35778 CA
Pharmacist 183500000X 07923 NV Primary

Addresses

Primary practice location

10799 N 90TH Street
Suite 200 - Second Floor
Scottsdale, AZ 85260-6166

Mailing address

10799 N 90TH St
Suite 200 - Second Floor
Scottsdale, AZ 85260-6110
Phone (480) 614-0060

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
07923NVMDPharmacist
35778CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1356889257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10799 N 90TH ST",
            "address_2": "SUITE 200 - SECOND FLOOR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606110",
            "telephone_number": "480-614-0060",
            "fax_number": "480-614-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10799 N 90TH STREET",
            "address_2": "SUITE 200 - SECOND FLOOR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606166",
            "telephone_number": "480-614-0060",
            "fax_number": "480-614-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "MICHAEL",
        "credential": "PHARM BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35778",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "07923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.