Active NPI
Michael Kale Natividad Lopez, PHARMD, MBA
- Pharmacist
- Washington, UT
National Provider Identifier
1962175067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13253763-1701
- Practice address
- 290 Buena Vista Blvd
Washington, UT 84780-2823 - Phone
- (808) 690-7981
- NPI assigned
- Jul 26, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-4676 | HI | |
| Pharmacist | 183500000X | 13253763-1701 | UT | Primary |
| Pharmacist | 183500000X | 23029 | NV |
Addresses
Primary practice location
290 Buena Vista Blvd
Washington, UT 84780-2823
Mailing address
290 Buena Vista Blvd
Washington, UT 84780-2823
Phone (808) 690-7981
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-4676 | HI | MD | Pharmacist |
| 23029 | NV | MD | Pharmacist |
| 13253763-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1962175067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BUENA VISTA BLVD",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847802823",
"telephone_number": "808-690-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BUENA VISTA BLVD",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847802823",
"telephone_number": "808-690-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MICHAEL KALE",
"middle_name": "NATIVIDAD",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4676",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "13253763-1701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "23029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.