Active NPI
Greg Allen Michels, PHARMACIST
- Pharmacist
- Lawrence, KS
National Provider Identifier
1740698042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9825
- Practice address
- 550 Congressional Dr
Lawrence, KS 66049-4735 - Phone
- (785) 841-1718
- Fax
- (785) 841-1719
- NPI assigned
- Jul 30, 2014
- Last updated
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 9825 | KS | Primary |
Addresses
Primary practice location
550 Congressional Dr
Lawrence, KS 66049-4735
Mailing address
1130 Brynwood CT
Lawrence, KS 66049-7505
Phone (620) 794-5657
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 |
|---|---|---|---|
| 9825 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1740698042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BRYNWOOD CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660497505",
"telephone_number": "620-794-5657",
"fax_number": "785-841-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CONGRESSIONAL DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494735",
"telephone_number": "785-841-1718",
"fax_number": "785-841-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "GREG",
"middle_name": "ALLEN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "9825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.