Michael McAfee
Individual provider Active NPI Pharmacist · Doniphan, MO
NPI 1699212159 · NPPES record last updated Jan 23, 2017
Key facts
- NPI
- 1699212159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2002000534 (MO)
- Practice address
- HC 5 Box 219
Doniphan, MO 63935-9107 - Phone
- (573) 996-5362
- NPI assigned
- Jan 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002000534 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2002000534 | MO | Yes |
Addresses
Primary practice location
HC 5 Box 219
Doniphan, MO 63935-9107
Mailing address
HC 5 Box 219
Doniphan, MO 63935-9107
Phone (573) 996-5362
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.