Active NPI
Michaela M Doss, PHARM.D.
- Pharmacotherapy Pharmacist
- East Peoria, IL
National Provider Identifier
1548693013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051.293600
- Practice address
- 301 W Washington St
East Peoria, IL 61611-2036 - Phone
- (309) 427-2930
- NPI assigned
- Aug 19, 2013
- Last updated
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051.293600 | IL | Primary |
Addresses
Primary practice location
301 W Washington St
East Peoria, IL 61611-2036
Mailing address
11217 N Oakwood Dr
Unit 34
Peoria, IL 61615-1038
Phone (618) 980-3100
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 |
|---|---|---|---|
| 051.293600 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1548693013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 N OAKWOOD DR",
"address_2": "UNIT 34",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151038",
"telephone_number": "618-980-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W WASHINGTON ST",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616112036",
"telephone_number": "309-427-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "MICHAELA",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051.293600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Peoria, IL
- Rachel Derickson
- Samantha Despines, PHARMD
- Ann Devore
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-East Peoria)
- Dickerson Chiropractic and Wellness Center PC
- Clarence E Dukes, MD
- Christina D Durbin, DC
- East Peoria Comm High SCH 309
- East Peoria Counseling LLC
- East Peoria Elementary Dist 86
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.