Active NPI
Michael Neuwirth
- Pharmacist
- Saint Cloud, MN
National Provider Identifier
1427476241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114430
- Practice address
- 4161 2ND St S
Saint Cloud, MN 56301-3761 - Phone
- (320) 253-3280
- Fax
- (320) 253-5790
- NPI assigned
- Mar 29, 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 | 114430 | MN | Primary |
Addresses
Primary practice location
4161 2ND St S
Saint Cloud, MN 56301-3761
Mailing address
4161 2ND St S
Saint Cloud, MN 56301-3761
Phone (320) 253-3280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114430 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1427476241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 2ND ST S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013761",
"telephone_number": "320-253-3280",
"fax_number": "320-253-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 2ND ST S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013761",
"telephone_number": "320-253-3280",
"fax_number": "320-253-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUWIRTH",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.