Michelle Watters, PHARMD
Individual provider Active NPI Pharmacist · Bellevue, KY
NPI 1124468707 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1124468707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 016477 (KY)
- Practice address
- 103 Landmark Dr
Bellevue, KY 41073-1393 - Phone
- (859) 291-8665
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016477 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016477 | KY | Yes |
Addresses
Primary practice location
103 Landmark Dr
Bellevue, KY 41073-1393
Mailing address
1577 Raintree CT
Elsmere, KY 41018-1885
Phone (859) 652-1868
Other providers in Bellevue, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.