Active NPI
Marcus Michaelis, PHARMD
- Pharmacist
- Meridian, ID
National Provider Identifier
1891330551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8435
- Practice address
- 795 W Overland Rd
Meridian, ID 83642-6556 - Phone
- (208) 917-6905
- NPI assigned
- Nov 16, 2019
- Last updated
- Nov 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P8435 | ID | Primary |
| Pharmacist | 183500000X | RPH-0017434 | OR |
Addresses
Primary practice location
795 W Overland Rd
Meridian, ID 83642-6556
Mailing address
795 W Overland Rd
Meridian, ID 83642-6556
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
| License | State | Type | Specialty |
|---|---|---|---|
| P8435 | ID | MD | Pharmacist |
| RPH-0017434 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1891330551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 W OVERLAND RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 W OVERLAND RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426556",
"telephone_number": "208-917-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELIS",
"first_name": "MARCUS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-16",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8435",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Amica Meyer, DPT
- Connor Meyerhoeffer
- Michael D Payne DMD PC (Orthodontics at Bridgetower)
- Michael E Callender
- Michael E Callender
- Casey Michel, DPT
- Tracy D. Mickelsen, CSFA
- Midvalley Healthcare PLLC (MidValley Healthcare)
- Midvalley Healthcare PLLC (MidValley Healthcare)
- Midvalley Healthcare PLLC (MidValley Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.