Active NPI
Teresa L Muckley, RPH
- Pharmacist
- North Vernon, IN
National Provider Identifier
1235410283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016862A
- Practice address
- 9 N State St
North Vernon, IN 47265-1723 - Phone
- (812) 346-4834
- Fax
- (812) 346-7058
- NPI assigned
- Sep 5, 2011
- Last updated
- Sep 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016862A | IN | Primary |
| Pharmacist | 183500000X | PS22922 | FL | |
| Pharmacist | 183500000X | PH19932 | MA |
Addresses
Primary practice location
9 N State St
North Vernon, IN 47265-1723
Mailing address
940 Driftwood Ave
Columbus, IN 47203-1083
Phone (812) 378-9934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26016862A | Other | IN | PHARMACIST STATE LISCENSE |
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 |
|---|---|---|---|
| PS22922 | FL | MD | Pharmacist |
| 26016862A | IN | MD | Pharmacist |
| PH19932 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315180800000",
"number": "1235410283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 DRIFTWOOD AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472031083",
"telephone_number": "812-378-9934",
"fax_number": "812-346-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N STATE ST",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472651723",
"telephone_number": "812-346-4834",
"fax_number": "812-346-7058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCKLEY",
"first_name": "TERESA",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-05",
"last_updated": "2011-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016862A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22922",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH19932",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LISCENSE",
"identifier": "26016862A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Vernon, IN
- Leonard Ezekiel Miller, PSY.D., HSPP
- Marc Miller, RPH
- Trevor Charles Miller, D.C.
- Vicky Miller, MSOTR
- Modern Dental Professionals - Indiana, PC (Bright Now Dental)
- Scott H Murphy, M.D.
- Kimberly Napier, NP-C
- Neil Strait Hill North Vernon Family Medicine
- Neil Strait Hill North Vernon Family Medicine
- Chance Newkirk
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.