Individual provider Active NPI

Michelle Leigh Presley, RPH

  • Pharmacist
  • Mount Airy, MD
National Provider Identifier
1609044221
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13691 Issued in MD
Practice address
504 E Ridgeville Blvd
Mount Airy, MD 21771-5252
Phone
(301) 829-6402
Fax
(301) 829-6404
NPI assigned
Feb 16, 2008
Last updated
Feb 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13691 MD Primary

Addresses

Primary practice location

504 E Ridgeville Blvd
Mount Airy, MD 21771-5252

Mailing address

1950 Andrew CT
Marriottsville, MD 21104-1175
Phone (410) 795-8832

Other identifiers 1

IdentifierTypeStateIssuer
13691OtherMDRPH STATE LICENSE NUMBER

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13691MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203120000000",
    "number": "1609044221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ANDREW CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041175",
            "telephone_number": "410-795-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E RIDGEVILLE BLVD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715252",
            "telephone_number": "301-829-6402",
            "fax_number": "301-829-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH STATE LICENSE NUMBER",
            "identifier": "13691",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.