Michelle Edwards Allen, PHARMD, BCPS, FCCM,

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

10053 Issued in CA

Practice address

Sutter Santa Rosa Regional Hospital Dept. of Pharmacy
30 Mark West Springs Road
Santa Rosa, CA 95403-1436

Phone

(707) 576-4340

Fax

(707) 541-9120

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1174695944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WEST ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723715",
            "telephone_number": "707-819-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUTTER SANTA ROSA REGIONAL HOSPITAL DEPT. OF PHARMACY",
            "address_2": "30 MARK WEST SPRINGS ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031436",
            "telephone_number": "707-576-4340",
            "fax_number": "707-541-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MICHELLE",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, FCCM,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "55888",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AZ",
            "license": "12974",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliraad Moattar DDS Inc
• Antonia Allawatt
• Brandon Allen
• Jessica Lynn Allen, RAS #M0605161317
• Leila Allen, SLP-MS
• Nancy Bell Allen, FNP
• Shaline Allen
• Allergy & Asthma Adult & Pediatric Medical Group of the Redwoods Inc
• Allison Pieraccini, LCSW
• Elizabeth Allison

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.