Individual provider Active NPI

Michelle Diamond

  • Pharmacist
  • Springfield, MA
National Provider Identifier
1073238481
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH23624 Issued in MA
Practice address
991 Main St
Springfield, MA 01103-2111
Phone
(413) 827-7143
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH23624 MA Primary

Addresses

Primary practice location

991 Main St
Springfield, MA 01103-2111

Mailing address

38 Hillcrest Ave
West Springfield, MA 01089-2039

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 4138277143 Health Information Exchange (HIE)
SOAP URL 4138277143

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
PH23624MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc CurrentSince Oct 9, 2022 Accepting new patients
CVS Pharmacy Inc PastSince Oct 9, 2022 Accepting new patients

Locations

991 Main St
Springfield, MA 01103
Phone (413) 827-7143

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1073238481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HILLCREST AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032111",
            "telephone_number": "413-827-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH23624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4138277143",
            "affiliation": "N",
            "endpointDescription": "4138277143",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "991 Main St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011032111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "4138277143",
            "affiliation": "N",
            "endpointDescription": "4138277143",
            "address_1": "991 Main St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011032111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.