Individual provider Active NPI

Michelle Mallery Hatchett

  • Pharmacist
  • Pullman, WA
National Provider Identifier
1003173709
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0020862 Issued in CO
Practice address
1915 NE Terre View Dr Apt 59D
Pullman, WA 99163-4544
Phone
(303) 868-7363
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IR 60221618 WA
Pharmacist 183500000X PHA.0020862 CO Primary

Addresses

Primary practice location

1915 NE Terre View Dr Apt 59D
Pullman, WA 99163-4544

Mailing address

5040 Filarees Cir
Colorado Springs, CO 80917-1321
Phone (303) 868-7363

Other names 1

  • Michelle Mallery Monson Former name

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
PHA.0020862COMDPharmacist
IR 60221618WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1003173709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FILAREES CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171321",
            "telephone_number": "303-868-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE TERRE VIEW DR APT 59D",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634544",
            "telephone_number": "303-868-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "MICHELLE",
        "middle_name": "MALLERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "IR 60221618",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0020862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MONSON",
            "middle_name": "MALLERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.