Healthcare Provider Details

I. General information

NPI: 1861319634
Provider Name (Legal Business Name): TONI MIKHAEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 LANDERBROOK DR STE 100
MAYFIELD HTS OH
44124-4031
US

IV. Provider business mailing address

23511 CHAGRIN BLVD APT 516
BEACHWOOD OH
44122-5539
US

V. Phone/Fax

Practice location:
  • Phone: 440-646-2626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP459027
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: