Individual provider Active NPI

Michael Zucarelli, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1699115667
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S017913 Issued in AZ
Practice address
21001 N Tatum Blvd Ste 20
T1630
Phoenix, AZ 85050-4207
Phone
(480) 419-9670
NPI assigned
Jul 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S017913 AZ Primary

Addresses

Primary practice location

21001 N Tatum Blvd Ste 20
T1630
Phoenix, AZ 85050-4207

Mailing address

21001 N Tatum Blvd Ste 20
T1630
Phoenix, AZ 85050-4207
Phone (480) 419-9670

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S017913AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372896000000",
    "number": "1699115667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 20",
            "address_2": "T1630",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504207",
            "telephone_number": "480-419-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 20",
            "address_2": "T1630",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504207",
            "telephone_number": "480-419-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCARELLI",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.