Individual provider Active NPI

Michele Dawson Overtoom, DOCTOR OF PHARMACY

  • Pharmacist
  • Owings Mills, MD
National Provider Identifier
1194384917
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11746 Issued in MD
Practice address
Wegmans Pharmacy #125
10100 Reisterstown Road
Owings Mills, MD 21117
Phone
(443) 491-2345
Fax
(443) 491-2398
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11746 MD Primary

Addresses

Primary practice location

Wegmans Pharmacy #125
10100 Reisterstown Road
Owings Mills, MD 21117

Mailing address

19535 Middletown Rd
Freeland, MD 21053-9406
Phone (410) 375-4827

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
11746MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1194384917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19535 MIDDLETOWN RD",
            "city": "FREELAND",
            "state": "MD",
            "postal_code": "210539406",
            "telephone_number": "410-375-4827",
            "fax_number": "443-491-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEGMANS PHARMACY #125",
            "address_2": "10100 REISTERSTOWN ROAD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "443-491-2345",
            "fax_number": "443-491-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTOOM",
        "first_name": "MICHELE",
        "middle_name": "DAWSON",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.