Active NPI
Michelle Lynn Koehler
- Pharmacist
- Hackettstown, NJ
National Provider Identifier
1003173584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 02311700
- Practice address
- 66 US Highway 46W
Hackettstown, NJ 07840 - Phone
- (908) 452-9252
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 02311700 | NJ | Primary |
Addresses
Primary practice location
66 US Highway 46W
Hackettstown, NJ 07840
Mailing address
21 Green Heron Dr
Hackettstown, NJ 07840-3302
Phone (908) 441-6114
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02311700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1003173584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GREEN HERON DR",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078403302",
"telephone_number": "908-441-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 US HIGHWAY 46W",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-452-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "02311700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.