Active NPI
Thomas D. Meehan, R.PH.
- Pharmacist
- Sault Sainte Marie, MI
National Provider Identifier
1801809165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302026332
- Practice address
- 2864 Ashmun St
Sault Sainte Marie, MI 49783-3740 - Phone
- (906) 632-5236
- Fax
- (906) 632-5296
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5302026332 | MI | Primary |
Addresses
Primary practice location
2864 Ashmun St
Sault Sainte Marie, MI 49783-3740
Mailing address
15857 S Mackinac TRL
P.O. Box 164
Kinross, MI 49752-9138
Phone (906) 495-7137
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302026332 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801809165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15857 S MACKINAC TRL",
"address_2": "P.O. BOX 164",
"city": "KINROSS",
"state": "MI",
"postal_code": "497529138",
"telephone_number": "906-495-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2864 ASHMUN ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497833740",
"telephone_number": "906-632-5236",
"fax_number": "906-632-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "THOMAS",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302026332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.