Active NPI
Michelle Lynn Phillips, PHARMACIST
- Pharmacist
- Houston, TX
National Provider Identifier
1376831156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24203
- Practice address
- 984 Gessner Rd
7803 Chinon Circle
Houston, TX 77024-2505 - Phone
- (713) 300-0228
- Fax
- (713) 300-0228
- NPI assigned
- Jul 14, 2011
- 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 | 24203 | TX | Primary |
Addresses
Primary practice location
984 Gessner Rd
7803 Chinon Circle
Houston, TX 77024-2505
Mailing address
984 Gessner Rd
Target Phgarmacy
Houston, TX 77024-2505
Phone (713) 300-0228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Other | TX | #18 PHARMACY SERVICE PROVIDERS |
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 |
|---|---|---|---|
| 24203 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1376831156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 GESSNER RD",
"address_2": "TARGET PHGARMACY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242505",
"telephone_number": "713-300-0228",
"fax_number": "713-300-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 GESSNER RD",
"address_2": "7803 CHINON CIRCLE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242505",
"telephone_number": "713-300-0228",
"fax_number": "713-300-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "#18 PHARMACY SERVICE PROVIDERS",
"identifier": "183500000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.