Individual provider Active NPI

David Joseph Misura, RPH

  • Pharmacist
  • Lapeer, MI
National Provider Identifier
1679740575
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302022666 Issued in MI
Practice address
1895 W Genesee St
Lapeer, MI 48446-1705
Phone
(810) 664-4578
Fax
(810) 664-1366
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302022666 MI Primary

Addresses

Primary practice location

1895 W Genesee St
Lapeer, MI 48446-1705

Mailing address

1895 W Genesee St
Lapeer, MI 48446-1705
Phone (810) 664-4578

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

LicenseStateTypeSpecialty
5302022666MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1679740575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 W GENESEE ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461705",
            "telephone_number": "810-664-4578",
            "fax_number": "810-664-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 W GENESEE ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461705",
            "telephone_number": "810-664-4578",
            "fax_number": "810-664-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISURA",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.