Individual provider Active NPI

Michael Ressa, PHARM D

  • Pharmacist
  • Cave Creek, AZ
National Provider Identifier
1760227870
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024195 Issued in AZ
Practice address
28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone
(480) 585-6097
NPI assigned
Jun 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 S024195 AZ Primary

Addresses

Primary practice location

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303

Mailing address

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (480) 585-6097

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
S024195AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1760227870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28138 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316303",
            "telephone_number": "480-585-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28138 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316303",
            "telephone_number": "480-585-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSA",
        "first_name": "MICHAEL",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.