Michael John Witten, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302410683 Issued in MI

Practice address

1850 Anderson Rd
Petoskey, MI 49770-8893

Phone

(231) 439-0071

NPI assigned

Nov 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Petoskey, MI
  • NPI 1275550485
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1881295533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 BEHLING RD",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129601",
            "telephone_number": "231-675-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ANDERSON RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708893",
            "telephone_number": "231-439-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTEN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302410683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Jan Winklerprins, M.D.
• Winnell Wellness Consulting
• Catherine Winnell-Braendle, R.N.
• Katherine Elaine Winslow, LAC, RAC, DIPL. O.M.
• Emily Wirtz, OT/L
• Brian D Wittenberg, M.D.
• Rebecca Woltman, NP-C
• Women'S Resource Center of Northern Michigan
• Adam Jens Wong, AU.D. CCC-A
• Logan Alexander Wood, DDS

• Pharmacist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.