Active NPI
Michael Christoffersen, R.PH.
- Pharmacist
- Sac City, IA
National Provider Identifier
1609290543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19260
- Practice address
- 514 W Main St
Sac City, IA 50583-1727 - Phone
- (712) 662-7146
- NPI assigned
- Feb 12, 2014
- Last updated
- Mar 27, 2017
- 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 | 19260 | IA | Primary |
Addresses
Primary practice location
514 W Main St
Sac City, IA 50583-1727
Mailing address
PO Box 112
Lytton, IA 50561-0112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19260 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1609290543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "LYTTON",
"state": "IA",
"postal_code": "505610112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W MAIN ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831727",
"telephone_number": "712-662-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOFFERSEN",
"first_name": "MICHAEL",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sac City, IA
- Abcm Corporation (Healthy Living Home Care by Park Place Independent & Assisted Living)
- Kay Blessington, ARNP
- Bunion Surgery Specialists LLC
- Steven E. Burns, D.C.
- Restituto Louie Ching, D.D.S.
- Cnos, PC
- James Jeffery Coats
- Cornerstone Caregiving East LLC
- Counseling Services, LLC
- County of Sac (Sac County Ambulance Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.