Active NPI
Michael Kinstedt, PHARMD
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1588034706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021705
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-2048
- Fax
- (602) 933-2057
- NPI assigned
- Sep 30, 2015
- Last updated
- May 28, 2021
- 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 | I012038 | AZ | |
| Pharmacist | 183500000X | S021705 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
1920 E Indian School Rd Apt 3008
Phoenix, AZ 85016-6059
Phone (937) 432-8207
Other practice location 1
1025 S Milton Rd
Flagstaff, AZ 86001-6349
Phone (928) 779-9588
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 |
|---|---|---|---|
| I012038 | AZ | MD | Pharmacist |
| S021705 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1588034706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E INDIAN SCHOOL RD APT 3008",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166059",
"telephone_number": "937-432-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-2048",
"fax_number": "602-933-2057"
}
],
"practiceLocations": [
{
"address_1": "1025 S Milton Rd",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860016349",
"country_code": "US",
"telephone_number": "928-779-9588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSTEDT",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "I012038",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.