Individual provider Active NPI

Michele Rena Dillon

  • Pharmacist
  • Huntington, WV
National Provider Identifier
1235205758
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006110 Issued in WV
Practice address
5170 US Route 60 Ste 2800
Huntington, WV 25705-2004
Phone
(304) 399-3784
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006110 WV Primary
Pharmacist 183500000X 012671 KY
Pharmacist 183500000X 03126049 OH

Addresses

Primary practice location

5170 US Route 60 Ste 2800
Huntington, WV 25705-2004

Mailing address

315 Royal Birkdale Dr
Lavalette, WV 25535-9617
Phone (304) 654-2277

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
012671KYMDPharmacist
03126049OHMDPharmacist
RP0006110WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Regional Med PK Pharm Co Current Accepting new patients
Huntington Regional Medical Park Pharmacy Inc Current Accepting new patients
Medical Park Pharmacy LTC Inc CurrentSince Dec 28, 2009 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1235205758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROYAL BIRKDALE DR",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359617",
            "telephone_number": "304-654-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 US ROUTE 60 STE 2800",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052004",
            "telephone_number": "304-399-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MICHELE",
        "middle_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006110",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012671",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03126049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.