Michelle Renae Vetter, PHARMD, MSW, LISW

Primary specialty

PharmacistTaxonomy code 183500000X

License

23523 Issued in IA

Practice address

200 Wilmot Rd
Deerfield, IL 60015-4620

Phone

(847) 315-2500

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Adult and Child Clinical Assessments, Inc

  • Community/Behavioral Health Agency
  • Huxley, IA
  • NPI 1932499134
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1649329434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501240035",
            "telephone_number": "515-745-0581",
            "fax_number": "515-597-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WILMOT RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154620",
            "telephone_number": "847-315-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Larson Dr",
            "address_purpose": "LOCATION",
            "city": "Huxley",
            "state": "IA",
            "postal_code": "501249494",
            "country_code": "US",
            "telephone_number": "515-745-0581",
            "fax_number": "515-597-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTER",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003346A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Vega, LSW
• Randolph Veloso, PHARMD
• Erik Versen
• Monica Vervilos, LCPC, CADC
• Vesna Simic, Inc.
• Vision Development and Rehabilitation Consultants LLC
• Laura Eleanor Vita, RBT
• Christina Vukovich, LSW
• Elizabeth Wajswol
• Walgreen Arizona Drug Co

• Pharmacist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.