NPIMap

Individual provider Active NPI

Michelle Ann Haracznak, PHARMD

  • Pharmacist
  • Summerville, SC
National Provider Identifier
1134526361
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13850 Issued in SC
Practice address
10635 Dorchester Rd
Summerville, SC 29485-7610
Phone
(843) 879-5150
Fax
(843) 879-5151
NPI assigned
Dec 3, 2014
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13850 SC Primary

Addresses

Primary practice location

10635 Dorchester Rd
Summerville, SC 29485-7610

Mailing address

10635 Dorchester Rd
Summerville, SC 29485-7610
Phone (843) 879-5150

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past Accepting new patients
Wal-Mart Stores East LP 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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1134526361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857610",
            "telephone_number": "843-879-5150",
            "fax_number": "843-879-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857610",
            "telephone_number": "843-879-5150",
            "fax_number": "843-879-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARACZNAK",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.