Individual provider Active NPI

Michael Celayeta Sr., R.PH.

  • Pharmacist
  • Happy Camp, CA
National Provider Identifier
1972925782
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24493 Issued in CA
Practice address
64012 Hillside Rd.
Happy Camp, CA 96039-0425
Phone
(530) 493-2070
Fax
(530) 493-2068
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24493 CA Primary

Addresses

Primary practice location

64012 Hillside Rd.
Happy Camp, CA 96039-0425

Mailing address

PO Box 425
Happy Camp, CA 96039-0425
Phone (530) 493-2070

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

LicenseStateTypeSpecialty
24493CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Celayeta 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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1972925782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960390425",
            "telephone_number": "530-493-2070",
            "fax_number": "530-493-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64012 HILLSIDE RD.",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960390425",
            "telephone_number": "530-493-2070",
            "fax_number": "530-493-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELAYETA",
        "first_name": "MICHAEL",
        "name_suffix": "Sr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "24493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.