Active NPI
Michele Mikaelian, RPH
- Pharmacist
- Woodbridge, CT
National Provider Identifier
1225307127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8454
- Practice address
- 245 Amity Rd
Suite 111
Woodbridge, CT 06525-2258 - Phone
- (917) 612-3725
- NPI assigned
- Dec 21, 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 | 8454 | CT | Primary |
Addresses
Primary practice location
245 Amity Rd
Suite 111
Woodbridge, CT 06525-2258
Mailing address
14 Usher St
Milford, CT 06460-8148
Phone (917) 612-3725
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 |
|---|---|---|---|
| 8454 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1225307127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 USHER ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608148",
"telephone_number": "917-612-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 AMITY RD",
"address_2": "SUITE 111",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252258",
"telephone_number": "917-612-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKAELIAN",
"first_name": "MICHELE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.