Michael Niebaum , R PH
Pharmacist • Roseville, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Niebaum has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Michael Niebaum, R PH was a registered Pharmacist practicing in Roseville, MN. Throughout an active medical career spanning 15 years, Michael Niebaum provided care at the practice location at 1891 COUNTY ROAD C W until profile deactivation on 2023-11-15.
Practice Location & Contact Primary Location
1891 County Road C W
Roseville, MN 551131304
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Roseville, MN
Practicing in Roseville, MN (4994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Registered Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 15, 2023
NPI status registered as active in NPPES database
Registered at 1891 COUNTY ROAD C W, ROSEVILLE, MN 551131304 (Tel: 8002255967)
Registered at PO BOX 840688, DALLAS, TX 752840688 (Tel: 8002255967)
Recorded as MICHAEL NIEBAUM, R. PH
Pharmacist (License #1174278 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 840688
Dallas, TX 752840688
Phone: 8002255967
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