Michelle Ottey Urban, PHARMD, RPH
Individual provider Active NPI Pharmacist · Surf City, NC
NPI 1609158690 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1609158690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18323 (NC)
- Practice address
- 13500 NC Highway 50 # 210
Suite 101
Surf City, NC 28445-7934 - Phone
- (910) 329-1134
- Fax
- (910) 329-1175
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18323 | NC | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Realo Discount Drug Stores of Eastern North Carolina, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18323 | NC | Yes |
Addresses
Primary practice location
13500 NC Highway 50 # 210
Suite 101
Surf City, NC 28445-7934
Mailing address
13500 NC 50/210
Suite 101
Surf City, NC 28445
Phone (910) 329-1134
Other providers in Surf City, NC
- Surf City Urgent Care and Family Medicine PLLC
- Phillip Carl Tart
- Danielle Feck Theberge
- Time 2 Learn Inc
- Trudy Mary Cook LCSW PC
- Valjoy Beach Care, P.a.
- Wal-Mart Stores East LP
- Samantha Lesley Watson
- Jessica Lynne White
All providers in Surf City, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. 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.