Individual provider Active NPI

Michael Shea Seivert, PHARM.D.

  • Pharmacist
  • Canton, OH
National Provider Identifier
1912306937
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03233589 Issued in OH
Practice address
3112 Cleveland Ave NW
Canton, OH 44709-2813
Phone
(330) 492-2963
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03233589 OH Primary

Addresses

Primary practice location

3112 Cleveland Ave NW
Canton, OH 44709-2813

Mailing address

3921 Montereale Dr
Canfield, OH 44406-8085
Phone (330) 398-7797

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
03233589OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Glassman Inc CurrentSince Nov 15, 2020 Accepting new patients
Marc Glassman Inc PastSince Nov 15, 2020 Accepting new patients
Marc Glassman Inc Past Accepting new patients

Locations

3112 Cleveland Ave NW
Canton, OH 44709
Phone (330) 491-0896

Organizations & group practices 3

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1912306937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 MONTEREALE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068085",
            "telephone_number": "330-398-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092813",
            "telephone_number": "330-492-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIVERT",
        "first_name": "MICHAEL",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.