Michelle Kay Atie, PHARM.D.
Individual provider Active NPI Pharmacist · Commerce TWP, MI
NPI 1497878458 · NPPES record last updated Oct 26, 2019
Key facts
- NPI
- 1497878458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032644 (MI)
- Practice address
- 1001 Welch Rd Ste 101
Commerce TWP, MI 48390-2864 - Phone
- (248) 859-2804
- Fax
- (248) 859-2832
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032644 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032644 | MI | Yes |
Addresses
Primary practice location
1001 Welch Rd Ste 101
Commerce TWP, MI 48390-2864
Mailing address
1001 Welch Rd Ste 101
Commerce TWP, MI 48390-2864
Phone (248) 787-8858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302032644 | Other | MI | PHARMACIST LICENSE |
Other providers in Commerce TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2019. 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.