Active NPI
Michele Juanita Herrera
- Pharmacist
- Bronx, NY
National Provider Identifier
1326222704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0412531
- Practice address
- 2750 Boston Rd
Bronx, NY 10469-4127 - Phone
- (718) 405-2127
- NPI assigned
- Dec 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0412531 | NY | Primary |
Addresses
Primary practice location
2750 Boston Rd
Bronx, NY 10469-4127
Mailing address
2750 Boston Rd
Bronx, NY 10469-4127
Phone (718) 405-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00913759 | Medicaid | NY |
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 |
|---|---|---|---|
| 0412531 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1326222704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 BOSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104694127",
"telephone_number": "718-405-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 BOSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104694127",
"telephone_number": "718-405-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MICHELE",
"middle_name": "JUANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0412531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00913759",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.