Individual provider Active NPI

Michael Edward Menkhaus, RPH

  • Pharmacist
  • Blue Ash, OH
National Provider Identifier
1588089148
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-13845 Issued in OH
Practice address
11300 Cornell Park Dr
Suite 102
Blue Ash, OH 45242-1858
Phone
(513) 387-1484
Fax
(513) 387-1469
NPI assigned
Feb 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-13845 OH Primary

Addresses

Primary practice location

11300 Cornell Park Dr
Suite 102
Blue Ash, OH 45242-1858

Mailing address

11300 Cornell Park Dr
Suite 102
Blue Ash, OH 45242-1858
Phone (513) 387-1484

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1588089148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CORNELL PARK DR",
            "address_2": "SUITE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421858",
            "telephone_number": "513-387-1484",
            "fax_number": "513-387-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 CORNELL PARK DR",
            "address_2": "SUITE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421858",
            "telephone_number": "513-387-1484",
            "fax_number": "513-387-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKHAUS",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-13845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.