Michelle Antoinette Cross
Individual provider Active NPI Pharmacist · Sunbury, PA
NPI 1376313338 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1376313338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP035502L (PA)
- Practice address
- 1100 N 4TH St
Sunbury, PA 17801-1238 - Phone
- (570) 286-0276
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP035502L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past |
Accepting new patients | |
| Weis Markets Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP035502L | PA | Yes |
Addresses
Primary practice location
1100 N 4TH St
Sunbury, PA 17801-1238
Mailing address
302 Summers Rd
Millersburg, PA 17061-8892
Phone (717) 649-2429
Other providers in Sunbury, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.