Active NPI
Michael Scott Lorentzen, RPH
- Pharmacist
- Anchorage, AK
National Provider Identifier
1366845729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1171
- Practice address
- 1200 N Muldoon Rd
Anchorage, AK 99504-6106 - Phone
- (907) 269-2101
- NPI assigned
- Sep 30, 2014
- 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 | 1171 | AK | Primary |
Addresses
Primary practice location
1200 N Muldoon Rd
Anchorage, AK 99504-6106
Mailing address
3782 Coventry Dr
Anchorage, AK 99507-3314
Phone (907) 947-0002
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1366845729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3782 COVENTRY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995073314",
"telephone_number": "907-947-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MULDOON RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995046106",
"telephone_number": "907-269-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENTZEN",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.