Active NPI
Michelle Mickey, RPH
- Pharmacist
- Shelby Township, MI
National Provider Identifier
1104101088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029439
- Practice address
- 13664 23 Mile Rd
Shelby Township, MI 48315-2952 - Phone
- (586) 247-1199
- Fax
- (586) 247-2300
- NPI assigned
- Oct 11, 2011
- Last updated
- Oct 11, 2011
- 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 | 5302029439 | MI | Primary |
Addresses
Primary practice location
13664 23 Mile Rd
Shelby Township, MI 48315-2952
Mailing address
13664 23 Mile Rd
Shelby Township, MI 48315-2952
Phone (586) 247-1199
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 |
|---|---|---|---|
| 5302029439 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1104101088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13664 23 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152952",
"telephone_number": "586-247-1199",
"fax_number": "586-247-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13664 23 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152952",
"telephone_number": "586-247-1199",
"fax_number": "586-247-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEY",
"first_name": "MICHELLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
- Michigan Home Care Group, LLC (Michigan Home Care Group)
- Michigan Ophthalmology Specialists, PLLC
- Michigan Orthopaedic Surgeons PLLC
- Michigan Surgery Specialists P.C. (Motus Rehablitation)
- Michigan Surgery Specialists, P.C.
- Mirna Evan Mikhael
- Nariman Mikhael
- Zoran Milenkovich, DC
- Brandy Lynn Miller-Wilks, DPT
- Anne Marie Miller, MA LPC CAADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.