Mechele Inez Roessler, VACCINATING TECH
Individual provider Active NPI Pharmacy Technician · Angels Camp, CA
NPI 1487345310 · NPPES record last updated May 19, 2023
Key facts
- NPI
- 1487345310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- TCH73928 (CA)
- Practice address
- 230 S Main St
Angels Camp, CA 95222-9359 - Phone
- (209) 736-4623
- Fax
- (209) 736-9406
- NPI assigned
- May 19, 2023
- 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 |
|---|---|---|---|
| RPH50829 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| TCH73928 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH50829 | CA | |
| Pharmacy Technician | 183700000X | TCH73928 | CA | Yes |
Addresses
Primary practice location
230 S Main St
Angels Camp, CA 95222-9359
Mailing address
230 S Main St
Angels Camp, CA 95222-9359
Phone (209) 736-4626
Other providers in Angels Camp, CA
- Ashley Nichole Nelson
- Colleen Elise Nunn
- Jocelyn Darcy Patino
- Nitya Prema
- Tarnjit Singh Rai
- Joann Rosenfeld
- Chelsea Sanfilippo
- Marie D Schafle
- Jeffrey Howard Schwartz
- Sierra Hope
All providers in Angels Camp, CA · Pharmacy Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2023. 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.