Active NPI
Michael S. Hess, R.PH.
- Pharmacist
- Potlatch, ID
National Provider Identifier
1962573444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P4155
- Practice address
- 525 Pine St
Potlatch, ID 83855 - Phone
- (208) 875-1212
- Fax
- (208) 875-0859
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 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 | P4155 | ID | Primary |
Addresses
Primary practice location
525 Pine St
Potlatch, ID 83855
Mailing address
3109 W Twin Rd
Moscow, ID 83843-8129
Phone (208) 882-4075
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 |
|---|---|---|---|
| P4155 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962573444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 W TWIN RD",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838438129",
"telephone_number": "208-882-4075",
"fax_number": "208-875-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 PINE ST",
"city": "POTLATCH",
"state": "ID",
"postal_code": "83855",
"telephone_number": "208-875-1212",
"fax_number": "208-875-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P4155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potlatch, ID
- Nicholas John Browneller
- County of Latah 285 School District
- Dan Lawson DDS, PC (Potlatch Family Dental)
- Michael Clyde Graham, P.A.
- Gritman Medical Center Inc (Potlatch Clinic)
- Lindsay Ranaye Lisher
- Northwest Clinical Services
- Northwest Pharmacy Services Inc (Northwest Pharmacy)
- Northwest Pharmacy Services, Inc.
- Palouse Ridge Occupational Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.