Active NPI
Michael Thomas Lupp, PHARM D
- Pharmacist
- Tempe, AZ
National Provider Identifier
1962821744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019897
- Practice address
- 1750 E Broadway Rd
Tempe, AZ 85282-1612 - Phone
- (480) 557-0970
- NPI assigned
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019897 | AZ | Primary |
Addresses
Primary practice location
1750 E Broadway Rd
Tempe, AZ 85282-1612
Mailing address
1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone (480) 557-0970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S019897 | Other | AZ | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S019897 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1962821744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E BROADWAY RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821612",
"telephone_number": "480-557-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E BROADWAY RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821612",
"telephone_number": "480-557-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPP",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "S019897",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.