Active NPI
Michael Edward Cauthen, R. PH.
- Pharmacist
- Waxhaw, NC
National Provider Identifier
1629372099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12471
- Practice address
- 8101 Kensington Dr
Waxhaw, NC 28173-0103 - Phone
- (704) 843-7131
- NPI assigned
- Dec 28, 2010
- Last updated
- Dec 28, 2010
- 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 | 12471 | NC | Primary |
| Pharmacist | 183500000X | 4639 | SC |
Addresses
Primary practice location
8101 Kensington Dr
Waxhaw, NC 28173-0103
Mailing address
1312 Somerset Dr
Lancaster, SC 29720-1719
Phone (803) 285-1227
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 |
|---|---|---|---|
| 4639 | SC | MD | Mental Health Counselor |
| 12471 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1629372099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 SOMERSET DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201719",
"telephone_number": "803-285-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 KENSINGTON DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103",
"telephone_number": "704-843-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUTHEN",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12471",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
- Carolinas Physicians Network Inc. (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine)
- Carolinas Physicians Network, Inc. (Union Endocrinology Associates)
- Christa Carr
- Melody Carr, MED, LPCA
- Stacy Ann Carr
- Raymond Chao, ND, DC, LAC
- Charlotte Medical Clinic Inc
- Charlotte-Mecklenburg Hospital Authority (CMC Orthopaedic Surgery-Union)
- Valeed Cheema
- Jennifer Kathryn Chimera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.