Active NPI
Michael Mostek
- Pharmacist
- Bend, OR
National Provider Identifier
1538413273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-10566
- Practice address
- 61155 S Hwy 97
Bend, OR 97702-2523 - Phone
- (541) 382-5742
- NPI assigned
- Nov 2, 2012
- Last updated
- Nov 2, 2012
- 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 | RPH-10566 | OR | Primary |
Addresses
Primary practice location
61155 S Hwy 97
Bend, OR 97702-2523
Mailing address
61155 S Hwy 97
Bend, OR 97702-2523
Phone (541) 382-5742
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 |
|---|---|---|---|
| RPH-10566 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1538413273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61155 S HWY 97",
"city": "BEND",
"state": "OR",
"postal_code": "977022523",
"telephone_number": "541-382-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61155 S HWY 97",
"city": "BEND",
"state": "OR",
"postal_code": "977022523",
"telephone_number": "541-382-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSTEK",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-10566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Mosaic Medical Dental (Mosaic Medical Bend Dental)
- Mosaic Medical Mobile Unit
- Anne Moseley
- Erica L Moser
- William H Moss Jr., LCSW
- Mostovych Facial Plastic Surgery LLC (NADIA MD Facial Plastic Surgery and Aesthetics)
- Nadia Katherine Mostovych, M.D.
- Ali Mostue
- Robert Mote
- Motherwise Community Birth Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.