Active NPI
Michelle Samuelson, PHARMD
- Ambulatory Care Pharmacist
- Lawrence, KS
National Provider Identifier
1033860762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 1-100905
- Practice address
- 325 Maine St
Lawrence, KS 66044-1360 - Phone
- (785) 505-5127
- NPI assigned
- Jan 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 1-100905 | KS | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 4255 | WY |
Addresses
Primary practice location
325 Maine St
Lawrence, KS 66044-1360
Mailing address
325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-5127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-100905 | KS | MD | Ambulatory Care Pharmacist |
| 4255 | WY | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tonganoxie, KS
- NPI 1255748471
-
- Family Medicine Physician
- Lawrence, KS
- NPI 1285253492
-
- Cardiovascular Disease Physician
- Lawrence, KS
- NPI 1346657590
-
- Family Medicine Physician
- Lawrence, KS
- NPI 1477107878
-
- Family Medicine Physician
- Eudora, KS
- NPI 1689081838
-
- Family Medicine Physician
- Baldwin City, KS
- NPI 1982011136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1033860762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441360",
"telephone_number": "785-505-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441360",
"telephone_number": "785-505-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-13",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "KS",
"license": "1-100905",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WY",
"license": "4255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.