Michael R McCann

Primary specialty

PharmacistTaxonomy code 183500000X

License

11028 Issued in WI

Practice address

2600 Hwy 138
Stoughton, WI 53589

Phone

(608) 873-9262

Fax

(608) 873-5496

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medical Health Pharmacy LLC

  • Long Term Care Pharmacy
  • Middleton, WI
  • NPI 1922646579
  NPD Authorized official
• Wal-Mart Stores East, LP

  dba Walmart Vision Center 30-1176

  • Eyewear Supplier
  • Stoughton, WI
  • NPI 1104361500
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1467936138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 COOPER AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623354",
            "telephone_number": "608-354-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HWY 138",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "53589",
            "telephone_number": "608-873-9262",
            "fax_number": "608-873-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Kessel Ct",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537116200",
            "country_code": "US",
            "telephone_number": "608-251-1838",
            "fax_number": "608-251-2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "11028",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1189627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Lothary, NP
• Marilyn Mary Mackinnon
• Madison Family Eyecare S C (Madison Family Eyecare)
• Marcus Maier
• Hannah Marklein
• McCarthy Nursing Home
• Michele Lee McClure, RN
• Stephen McCroary, PT,DPT
• Samantha McFarland, MSW, BSW, SAC-IT
• McGlynn Pharmacy Inc.

• Pharmacist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.