Active NPI
Michelle D. Foster, DPH
- Pharmacist
- Muskogee, OK
National Provider Identifier
1013575810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12678
- Practice address
- 3414 W Okmulgee St
Muskogee, OK 74401-5071 - Phone
- (918) 682-7765
- Fax
- (918) 682-7772
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 12678 | OK | Primary |
Addresses
Primary practice location
3414 W Okmulgee St
Muskogee, OK 74401-5071
Mailing address
3414 W Okmulgee St
Muskogee, OK 74401-5071
Phone (918) 682-7765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U080927068 | Other | OK | OKLAHOMA DRIVER LICENSE |
Other names 1
- Michelle D. Brown
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 |
|---|---|---|---|
| 12678 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1013575810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 W OKMULGEE ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015071",
"telephone_number": "918-682-7765",
"fax_number": "918-682-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 W OKMULGEE ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015071",
"telephone_number": "918-682-7765",
"fax_number": "918-682-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MICHELLE",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA DRIVER LICENSE",
"identifier": "U080927068",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BROWN",
"middle_name": "D.",
"credential": "DPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.