Individual provider Active NPI

Michael Hunter McKown

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1760218358
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S027176 Issued in AZ
Practice address
2737 E McKellips Rd # RS
Mesa, AZ 85213-3016
Phone
(480) 835-0970
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S027176 AZ Primary

Addresses

Primary practice location

2737 E McKellips Rd # RS
Mesa, AZ 85213-3016

Mailing address

1506 E Fairbrook St
Mesa, AZ 85203-5028
Phone (480) 323-6648

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

LicenseStateTypeSpecialty
S027176AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1760218358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E FAIRBROOK ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035028",
            "telephone_number": "480-323-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 E MCKELLIPS RD # RS",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133016",
            "telephone_number": "480-835-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWN",
        "first_name": "MICHAEL",
        "middle_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S027176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.