Individual provider Active NPI

Cheryl Lynn Selles, RPH

  • Pharmacist
  • Mt Pleasant, MI
National Provider Identifier
1255466942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302027034 Issued in MI
Practice address
Central Michigan University Health Services
Foust Hall 108
Mt Pleasant, MI 48859-0001
Phone
(989) 774-1748
Fax
(989) 774-4335
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
5302027034MIMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302027034 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

Central Michigan University Health Services
Foust Hall 108
Mt Pleasant, MI 48859-0001

Mailing address

692 E Stevenson Lake Rd
Clare, MI 48617-9154
Phone (989) 386-7352

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255466942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 E STEVENSON LAKE RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179154",
            "telephone_number": "989-386-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES",
            "address_2": "FOUST HALL 108",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-1748",
            "fax_number": "989-774-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLES",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.