Individual provider Active NPI

Michael Cornelius Bishop

  • Pharmacist
  • Sheboygan, WI
National Provider Identifier
1992457261
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9370 Issued in WI
Practice address
3711 S Taylor Dr
Sheboygan, WI 53081-8495
Phone
(920) 459-8601
Fax
(920) 459-8662
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40-9370 WI
Pharmacist 183500000X 9370 WI Primary

Addresses

Primary practice location

3711 S Taylor Dr
Sheboygan, WI 53081-8495

Mailing address

643 School St
Kohler, WI 53044-1429
Phone (920) 207-6294

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address MCBISHO.S01276.US@WAL-MART.COM Other
Direct Messaging Address mcbisho.s01276.us@wal-mart.com Direct
CONNECT URL mcbisho.s01276.us@wal-mart.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
40-9370WIMDPharmacist
9370WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1992457261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 SCHOOL ST",
            "city": "KOHLER",
            "state": "WI",
            "postal_code": "530441429",
            "telephone_number": "920-207-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818495",
            "telephone_number": "920-459-8601",
            "fax_number": "920-459-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MICHAEL",
        "middle_name": "CORNELIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "40-9370",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCBISHO.S01276.US@WAL-MART.COM",
            "affiliation": "N",
            "endpointDescription": "MCBISHO.S01276.US@WAL-MART.COM",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "3711 S Taylor Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530818495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcbisho.s01276.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "mcbisho.s01276.us@wal-mart.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "other",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3711 S Taylor Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530818495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcbisho.s01276.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "mcbisho.s01276.us@wal-mart.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mcbisho.s01276.us@wal-mart.com",
            "address_1": "3711 S Taylor Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530818495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.