Active NPI
Michael A Zimpfer, R.PH.
- Pharmacist
- Portage, IN
National Provider Identifier
1952529505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26013442A
- Practice address
- 3564 Scottsdale St
Portage, IN 46368-5420 - Phone
- (219) 763-8950
- Fax
- (219) 763-8951
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26013442A | IN | Primary |
Addresses
Primary practice location
3564 Scottsdale St
Portage, IN 46368-5420
Mailing address
3564 Scottsdale St
Portage, IN 46368-5420
Phone (219) 763-8950
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013442A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1952529505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3564 SCOTTSDALE ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685420",
"telephone_number": "219-763-8950",
"fax_number": "219-763-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3564 SCOTTSDALE ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685420",
"telephone_number": "219-763-8950",
"fax_number": "219-763-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMPFER",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013442A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.