Individual provider Active NPI

Michael James Markham, PHARM.D.

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1801239165
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67447 Issued in CA
Practice address
777 Turner Dr
San Jose, CA 95128
Phone
(408) 709-9496
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 67447 CA Primary

Addresses

Primary practice location

777 Turner Dr
San Jose, CA 95128

Mailing address

315 E Julian St
San Jose, CA 95112-3315
Phone (916) 207-9795

Other practice location 1

916 E Cypress Ave Ste 300
Redding, CA 96002-1038
Phone (530) 413-0370

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
67447CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Hatteras LLC CurrentSince Nov 1, 2020 Accepting new patients
Sterling Hatteras LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

916 E Cypress Ave
Ste 300
Redding, CA 96002
Phone (530) 413-0370

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1801239165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123315",
            "telephone_number": "916-207-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TURNER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-709-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 E Cypress Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021038",
            "country_code": "US",
            "telephone_number": "530-413-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.