Active NPI
Michael Lee Nothdurft, RPH
- Pharmacist
- Prescott Valley, AZ
National Provider Identifier
1659628477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018356
- Practice address
- 2880 N Centre CT
Prescott Valley, AZ 86314-1203 - Phone
- (928) 772-4938
- Fax
- (928) 772-4956
- NPI assigned
- Aug 10, 2012
- Last updated
- Aug 10, 2012
- 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 | S018356 | AZ | Primary |
Addresses
Primary practice location
2880 N Centre CT
Prescott Valley, AZ 86314-1203
Mailing address
2880 N Centre CT
Prescott Valley, AZ 86314-1203
Phone (928) 772-4938
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 |
|---|---|---|---|
| S018356 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1659628477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 N CENTRE CT",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141203",
"telephone_number": "928-772-4938",
"fax_number": "928-772-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N CENTRE CT",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141203",
"telephone_number": "928-772-4938",
"fax_number": "928-772-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTHDURFT",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Samantha Nordby, PSYD
- Kali Christine Nordin, PT, DPT
- Northern Arizona Medical Transporation LLC
- Northern Arizona Orthosports Physical Therapy Inc
- Northland Cares
- Nuanced Therapy LLC
- Nurses Network Incorporated (Nurses Network by Quality Home Health Care)
- Ibukun Odutola
- Elisa Olivier-Nielsen, RDN
- Maren Michele Olsen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.