NPIMap

Individual provider Active NPI

Michaela Harrell, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1003218165
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14283 Issued in NE
Practice address
4405 N 72ND St
Omaha, NE 68134-2350
Phone
(402) 571-3122
Fax
(402) 571-7117
NPI assigned
Sep 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14283 NE Primary

Addresses

Primary practice location

4405 N 72ND St
Omaha, NE 68134-2350

Mailing address

4405 N 72ND St
Omaha, NE 68134-2350
Phone (402) 571-3122

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14283NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC Past Accepting new patients
Dillon Companies LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1003218165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342350",
            "telephone_number": "402-571-3122",
            "fax_number": "402-571-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342350",
            "telephone_number": "402-571-3122",
            "fax_number": "402-571-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.