Michelle Ann Prull, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

18012 Issued in IA

Practice address

124 S Main St
Maquoketa, IA 52060-3034

Phone

(563) 652-5611

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Osterhaus Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Maquoketa, IA
  • NPI 1760530620
  NPD (past)
• Osterhaus Pharmacy, Inc.

  • Pharmacy
  • Maquoketa, IA
  • NPI 1699867994
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 69TH ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603034",
            "telephone_number": "563-652-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRULL",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Dale Pauls, D.C.
• Bruce Dale Pauls, PT,MS,ATC
• Eric Scott Petersen, D.O.
• Physical and Sports Services PC
• Nicole Powers, NP
• Robert Taylor Reed, PHARM.D.
• Emily Reiter
• Brandon Beau Rickertsen, D.O.
• Amanda Sue River, M.D., M.P.H
• Riverstone Counseling

• Pharmacist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Pharmacist in Iowa

• 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.