Michael Machen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

059088 Issued in NY

Practice address

240 Township Blvd Ste 30
Camillus, NY 13031-1793

Phone

(315) 487-5775

Fax

(315) 487-4423

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vince'S Pharmacy of Camillus Inc

  • Community/Retail Pharmacy
  • Camillus, NY
  • NPI 1114014164
  NPD Authorized official
• Vince'S Pharmacy of Camillus Inc

  • Long Term Care Pharmacy
  • Camillus, NY
  • NPI 1962129247
  NPD Authorized official

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1497036875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 MILTON AVE",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311557",
            "telephone_number": "315-487-5775",
            "fax_number": "315-487-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TOWNSHIP BLVD STE 30",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311793",
            "telephone_number": "315-487-5775",
            "fax_number": "315-487-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445828",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Joseph Monti, Inc.
• M. L. Bose Memorial Health Foundation, Inc.
• M. Robert Neulander, M.D.
• Rita E Macdonald, RPA-C
• Stacy Lynn Macdonald, PT
• Chloe Mack
• Marisa Maher, DACM, MSAOM, L.AC
• Lewis Joshua Malgieri, PH.D.
• Alan Peter Mancusi Ungaro, MD
• David Christopher Manfredi, M.D.

• Pharmacist in Camillus, NY
• Providers in Camillus, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.