Martin H Michel, R.PH., M.B.A., C.D.E

Primary specialty

PharmacistTaxonomy code 183500000X

License

41253 Issued in MO

Practice address

910 N Westwood Blvd
Poplar Bluff, MO 63901-4242

Phone

(573) 785-8218

Fax

(573) 785-8125

NPI assigned

Nov 1, 2006

Last updated

Jul 24, 2024By the provider in NPPES

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

Master of Business Administration, Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridge Maud Drug Corporation

  • Community/Retail Pharmacy
  • Poplar Bluff, MO
  • NPI 1275612947
  NPD Authorized official
• Ridge Maud Drug Corporation

  dba Key Drugs

  • Pharmacy
  • Poplar Bluff, MO
  • NPI 1538204532
  NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1891872446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-785-8218",
            "fax_number": "573-785-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-785-8218",
            "fax_number": "573-785-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "R.PH., M.B.A., C.D.E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "41253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney A Messenger, LPC
• Loretta Meyer, MAADC
• Shannan Meyer, LPN
• Michael E. Critchlow (The Allergy & Asthma Clinic)
• Michel Chiropractic Center LLC
• Michael G Michel, B.S., D.C.
• Mid-Land Anesthesia Associates
• Mid-South Health Clinic LLC
• Midwest Equipment SRV Systems LLC (Definitive Laboratory Services, LLC)
• Midwest Health Care, LLC (The Cedargate)

• Pharmacist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.