Noodles, Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

NOODLES, INC

Doing business as

Mike's Compounding Apothecary

Practice address

95 S Cottage Ave
Gearhart, OR 97138-4051

Phone

(971) 601-0551

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

NOODLES, INC., DBA MIKE'S COMPOUNDING APOTHECARYAs reported in NPPES

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

Authorized official

Name

Michael P Graeff, RPHNPI 1609183698

Title

Pharmacist

Phone

(971) 601-0551

Specialties & licenses 3

Addresses

Other names 1

• MIKE'S COMPOUNDING APOTHECARY Doing business as

Part of

Noodles Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael P. Graeff, RPH, FACA, CIP

  • Pharmacist
  • Gearhart, OR
  • NPI 1609183698
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1598442949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S COTTAGE AVE",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384051",
            "telephone_number": "971-601-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S COTTAGE AVE",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384051",
            "telephone_number": "971-601-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOODLES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOODLES, INC., DBA MIKE'S COMPOUNDING APOTHECARY",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GRAEFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "971-601-0551",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKE'S COMPOUNDING APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Gearhart, OR
• Providers in Gearhart, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.