Active NPI
Michel Ange Tanis, PHARMD.
- Pharmacist
- Miami, FL
National Provider Identifier
1538437587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0040600
- Practice address
- 13698 SW 8TH St
Miami, FL 33184-1039 - Phone
- (305) 221-4589
- Fax
- (305) 222-1258
- NPI assigned
- Dec 6, 2011
- 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 | PS0040600 | FL | Primary |
Addresses
Primary practice location
13698 SW 8TH St
Miami, FL 33184-1039
Mailing address
PO Box 590367
Ft Lauderdale, FL 33359-0367
Phone (850) 322-3750
Other names 1
- Dr. Michelange Tanis
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 |
|---|---|---|---|
| PS0040600 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1538437587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590367",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333590367",
"telephone_number": "850-322-3750",
"fax_number": "305-320-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13698 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841039",
"telephone_number": "305-221-4589",
"fax_number": "305-222-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIS",
"first_name": "MICHEL",
"middle_name": "ANGE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0040600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELANGE",
"last_name": "TANIS",
"prefix": "DR.",
"credential": "PHARMD.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.