Individual provider Active NPI

Michelle Ameen

  • Pharmacist
  • Austin, TX
National Provider Identifier
1003402454
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63237 Issued in TX
Practice address
11521 N FM 620 Rd Ste a
Austin, TX 78726-1168
Phone
(512) 249-0577
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63237 TX Primary

Addresses

Primary practice location

11521 N FM 620 Rd Ste a
Austin, TX 78726-1168

Mailing address

11521 N FM 620 Rd Ste a
Austin, TX 78726-1168
Phone (512) 249-0558

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA

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
63237TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP PastSince Dec 22, 2020 Accepting new patients
H-E-B, LP PastSince Dec 22, 2020 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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1003402454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 N FM 620 RD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261168",
            "telephone_number": "512-249-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 N FM 620 RD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261168",
            "telephone_number": "512-249-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEEN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "11521 N Fm 620 Rd Ste A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787261168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "11521 N Fm 620 Rd Ste A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787261168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "11521 N Fm 620 Rd Ste A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787261168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "11521 N Fm 620 Rd Ste A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787261168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.