Individual provider Active NPI

Michelle Renee Stobart, PHAMD

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1497635825
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26031494A Issued in IN
Practice address
5580 Georgetown Rd
Indianapolis, IN 46254-3710
Phone
(317) 297-1777
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26031494A IN Primary

Addresses

Primary practice location

5580 Georgetown Rd
Indianapolis, IN 46254-3710

Mailing address

10959 Echo TRL
Indianapolis, IN 46236-9079
Phone (404) 388-8704

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

LicenseStateTypeSpecialty
26031494AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 8, 2025 Accepting new patients
Walgreen Co PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1497635825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10959 ECHO TRL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369079",
            "telephone_number": "404-388-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543710",
            "telephone_number": "317-297-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBART",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26031494A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.