Active NPI
Michele Chang
- Pharmacist
- Euless, TX
National Provider Identifier
1043806086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59208
- Practice address
- 1060 N Main St
Euless, TX 76039-3300 - Phone
- (817) 283-1152
- NPI assigned
- Dec 14, 2020
- Last updated
- Sep 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59208 | TX | Primary |
Addresses
Primary practice location
1060 N Main St
Euless, TX 76039-3300
Mailing address
1060 N Main St
Euless, TX 76039-3300
Other practice location 1
4100 State Highway 121
Carrollton, TX 75010-1118
Phone (972) 939-7062
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 |
|---|---|---|---|
| 59208 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1043806086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 N MAIN ST",
"city": "EULESS",
"state": "TX",
"postal_code": "760393300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 N MAIN ST",
"city": "EULESS",
"state": "TX",
"postal_code": "760393300",
"telephone_number": "817-283-1152"
}
],
"practiceLocations": [
{
"address_1": "4100 State Highway 121",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750101118",
"country_code": "US",
"telephone_number": "972-939-7062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "MICHELE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2021-09-19",
"certification_date": "2021-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.