Active NPI
Lerine Patricia Mechouela-Talom
- Pharmacist
- Tawas City, MI
National Provider Identifier
1235724188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412362
- Practice address
- 200 Hemlock St
Tawas City, MI 48763-9237 - Phone
- (989) 362-9466
- NPI assigned
- Mar 3, 2021
- Last updated
- Mar 3, 2021
- 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 | 5302412362 | MI | Primary |
Addresses
Primary practice location
200 Hemlock St
Tawas City, MI 48763-9237
Mailing address
111 Adams St
East Tawas, MI 48730-1501
Phone (734) 512-6164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412362 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1235724188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ADAMS ST",
"city": "EAST TAWAS",
"state": "MI",
"postal_code": "487301501",
"telephone_number": "734-512-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEMLOCK ST",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487639237",
"telephone_number": "989-362-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECHOUELA-TALOM",
"first_name": "LERINE",
"middle_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tawas City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.