Active NPI
Michael Burton Ponstein, RPHT
- Pharmacy Technician
- Gary, IN
National Provider Identifier
1922890102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67034854A
- Practice address
- 2500 Richard Gordon Hatcher Blvd
Gary, IN 46404-3508 - Phone
- (219) 949-1055
- Fax
- (219) 944-7371
- NPI assigned
- May 21, 2025
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67034854A | IN | Primary |
Addresses
Primary practice location
2500 Richard Gordon Hatcher Blvd
Gary, IN 46404-3508
Mailing address
2500 Richard Gordon Hatcher Blvd
Gary, IN 46404-3508
Phone (219) 949-1055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67034854A | IN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1922890102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RICHARD GORDON HATCHER BLVD",
"city": "GARY",
"state": "IN",
"postal_code": "464043508",
"telephone_number": "219-949-1055",
"fax_number": "219-944-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 RICHARD GORDON HATCHER BLVD",
"city": "GARY",
"state": "IN",
"postal_code": "464043508",
"telephone_number": "219-949-1055",
"fax_number": "219-944-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONSTEIN",
"first_name": "MICHAEL",
"middle_name": "BURTON",
"credential": "RPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67034854A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
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- Rosalind Pirtle
- Planned Parenthood of Indiana Gary
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- Alfreida Pointer
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- Porter-Starke Services Inc. (Marram Health Center)
- Porter-Starke Services Inc. (Marram Health Center Suite 104)
- Tantra Posey
- Mary Ann O Post, M.S., CGC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.