Active NPI
Michael Bernard Kaiser
- Pharmacist
- Greenville, OH
National Provider Identifier
1679190615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03217911
- Practice address
- 1000 E Main St
Greenville, OH 45331-2802 - Phone
- (937) 547-9324
- NPI assigned
- Jun 25, 2020
- Last updated
- Jun 25, 2020
- 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 | 03217911 | OH | Primary |
Addresses
Primary practice location
1000 E Main St
Greenville, OH 45331-2802
Mailing address
5261 Depweg Rd
Coldwater, OH 45828-8746
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rxm.10327@store.walgreens.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03217911 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1000 E Main St
Greenville, OH 45331
Phone (937) 547-9324
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": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1679190615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 DEPWEG RD",
"city": "COLDWATER",
"state": "OH",
"postal_code": "458288746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312802",
"telephone_number": "937-547-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "MICHAEL",
"middle_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03217911",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rxm.10327@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Walgreens 10327",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 E Main St",
"city": "Greenville",
"state": "OH",
"country_code": "US",
"postal_code": "453312802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.