Active NPI
Michael Paul Werner, RPH
- Pharmacist
- Colfax, WI
National Provider Identifier
1629129127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8528-040
- Practice address
- 525 Main St
Box 340
Colfax, WI 54730-9083 - Phone
- (715) 962-3784
- Fax
- (715) 962-3930
- NPI assigned
- Jan 13, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8528-040 | WI | Primary |
Addresses
Primary practice location
525 Main St
Box 340
Colfax, WI 54730-9083
Mailing address
525 Main St
Box 340
Colfax, WI 54730-9083
Phone (715) 962-3784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33170800 | Medicaid | WI | |
| 5120073 | Other | WI | NCPDP |
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 |
|---|---|---|---|
| 8528-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629129127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MAIN ST",
"address_2": "BOX 340",
"city": "COLFAX",
"state": "WI",
"postal_code": "547309083",
"telephone_number": "715-962-3784",
"fax_number": "715-962-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MAIN ST",
"address_2": "BOX 340",
"city": "COLFAX",
"state": "WI",
"postal_code": "547309083",
"telephone_number": "715-962-3784",
"fax_number": "715-962-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8528-040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33170800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5120073",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colfax, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.