Individual provider Active NPI

Mike Kessler, RPH

  • Pharmacist
  • Sheffield, AL
National Provider Identifier
1669473534
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9262 Issued in AL
Practice address
507 N Columbia Ave
Sheffield, AL 35660-2935
Phone
(256) 381-4311
Fax
(256) 386-0903
NPI assigned
Aug 2, 2005
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9262 AL Primary
Community/Retail Pharmacy 3336C0003X 106701 AL

Addresses

Primary practice location

507 N Columbia Ave
Sheffield, AL 35660-2935

Mailing address

507 N Columbia Ave
Sheffield, AL 35660-2935
Phone (256) 381-4311

Other identifiers 3

IdentifierTypeStateIssuer
0103298OtherNCPDP
142329MedicaidAL
000052218MedicaidAL

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1669473534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N COLUMBIA AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602935",
            "telephone_number": "256-381-4311",
            "fax_number": "256-386-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N COLUMBIA AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602935",
            "telephone_number": "256-381-4311",
            "fax_number": "256-386-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MIKE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "9262",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0103298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142329",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052218",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.