Active NPI
Michelle D Owen, PHARMD
- Pharmacist
- Petersburg, VA
National Provider Identifier
1376824896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207332
- Practice address
- 321 Poplar Dr Ste C
Petersburg, VA 23805-9391 - Phone
- (804) 733-5591
- Fax
- (804) 733-3507
- NPI assigned
- Aug 30, 2011
- Last updated
- Sep 4, 2024
- 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 | 0202207332 | VA | Primary |
Addresses
Primary practice location
321 Poplar Dr Ste C
Petersburg, VA 23805-9391
Mailing address
321 Poplar Dr Ste C
Petersburg, VA 23805-9391
Phone (804) 733-5591
Other practice location 1
4238 W Hundred Rd
Chester, VA 23831-1505
Phone (804) 706-1419
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207332 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1376824896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 POPLAR DR STE C",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059391",
"telephone_number": "804-733-5591",
"fax_number": "804-733-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 POPLAR DR STE C",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059391",
"telephone_number": "804-733-5591",
"fax_number": "804-733-3507"
}
],
"practiceLocations": [
{
"address_1": "4238 W Hundred Rd",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "238311505",
"country_code": "US",
"telephone_number": "804-706-1419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWEN",
"first_name": "MICHELLE",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.