Dr Michael Jesse Verdugo, PHARMD, MS is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Shenandoah Junction, West Virginia. Dr Michael Jesse Verdugo is licensed to practice in California (license number APH-10147) and his current practice location is
283 Haybine Drive, Shenandoah Junction, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(520) 440-6396.
NPI number for Dr Michael Jesse Verdugo is 1336231711 and his current mailing address is 283 Haybine Drive, Shenandoah Junction, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336231711.
Healthcare Provider's Profile
| Full Name | Dr Michael Jesse Verdugo |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|
| Location | 283 Haybine Drive, Shenandoah Junction, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336231711
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 09/28/2019
Medical Identifiers
Medical identifiers for Dr Michael Jesse Verdugo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336231711 | NPI | - | NPPES |
| 119588 | Other | MN | PHARMACIST LICENSE |
| APH-10147 | Other | CA | ADVANCED PRACTICE PHARMACIST LICENSE |
| 12494 | Other | AZ | PHARMACIST LICENSE |
| 6179 | Other | WV | PHARMACIST LICENSE |
| LASAC-15283 | Other | AZ | ASSOCIATE SUBSTANCE ABUSE COUNSELOR |
| 474690000 | Medicaid | MN | |
| 51262 | Other | CA | PHARMACIST LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LASAC-15283 (Arizona) | Secondary |
| 183500000X | Pharmacist | 119588 (Minnesota) | Secondary |
| 183500000X | Pharmacist | 6179 (West Virginia) | Secondary |
| 183500000X | Pharmacist | 12494 (Arizona) | Secondary |
| 183500000X | Pharmacist | 51262 (California) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | APH-10147 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Jesse Verdugo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Jesse Verdugo, PHARMD, MS
283 Haybine Drive,
Shenandoah Junction, WV 25442
Ph: (520) 440-6396 | Dr Michael Jesse Verdugo, PHARMD, MS
283 Haybine Drive,
Shenandoah Junction, WV 25442
Ph: (520) 440-6396 |
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