Active NPI
Michelle Y Krietemeyer, RPH
- Pharmacist
- Shelby, OH
National Provider Identifier
1053603290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03122596
- Practice address
- 11 Mansfield Ave
Shelby, OH 44875-1367 - Phone
- (419) 347-1506
- NPI assigned
- May 5, 2011
- 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 | 03122596 | OH | Primary |
Addresses
Primary practice location
11 Mansfield Ave
Shelby, OH 44875-1367
Mailing address
240 Lincoln CT
Plymouth, OH 44865-9409
Phone (419) 687-0032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03122596 | Other | OH | OHIO PHARMACIST IDENTIFICATION NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03122596 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1053603290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 LINCOLN CT",
"city": "PLYMOUTH",
"state": "OH",
"postal_code": "448659409",
"telephone_number": "419-687-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MANSFIELD AVE",
"city": "SHELBY",
"state": "OH",
"postal_code": "448751367",
"telephone_number": "419-347-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIETEMEYER",
"first_name": "MICHELLE",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03122596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PHARMACIST IDENTIFICATION NUMBER",
"identifier": "03122596",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.