Active NPI
Michael Colgan, PHARMD
- Pharmacist
- Kansas City, KS
National Provider Identifier
1538770607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109717
- Practice address
- 7739 State Ave
Kansas City, KS 66112-2819 - Phone
- (913) 788-8168
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019036975 | MO | |
| Pharmacist | 183500000X | 1-109717 | KS | Primary |
Addresses
Primary practice location
7739 State Ave
Kansas City, KS 66112-2819
Mailing address
5347 Juniper Dr
Roeland Park, KS 66205-2226
Phone (913) 526-2801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Intercom | Direct |
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 |
|---|---|---|---|
| 1-109717 | KS | MD | Pharmacist |
| 2019036975 | MO | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1538770607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5347 JUNIPER DR",
"city": "ROELAND PARK",
"state": "KS",
"postal_code": "662052226",
"telephone_number": "913-526-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7739 STATE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122819",
"telephone_number": "913-788-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLGAN",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019036975",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109717",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Intercom",
"affiliation": "N",
"endpointDescription": "Walgreens Health Systems",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7739 State Ave",
"city": "Kansas City",
"state": "KS",
"country_code": "US",
"postal_code": "661122819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.