Active NPI
Michael Blatt, PHARM.D.
- Pharmacist
- Redwood City, CA
National Provider Identifier
1457760506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70821
- Practice address
- 2485 El Camino Real
T0321
Redwood City, CA 94063-2849 - Phone
- (650) 549-0000
- NPI assigned
- Aug 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 70821 | CA | Primary |
Addresses
Primary practice location
2485 El Camino Real
T0321
Redwood City, CA 94063-2849
Mailing address
2485 El Camino Real
T0321
Redwood City, CA 94063-2849
Phone (650) 549-0000
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 |
|---|---|---|---|
| 70821 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406937600000",
"number": "1457760506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 EL CAMINO REAL",
"address_2": "T0321",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632849",
"telephone_number": "650-549-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 EL CAMINO REAL",
"address_2": "T0321",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632849",
"telephone_number": "650-549-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-02",
"last_updated": "2014-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.